A postpartum client with blood type A, Rh-negative delivered a newborn with blood type AB, Rh-positive. Which statement indicates that teaching about this blood type inconsistency has been effective?

1. "Because my baby is Rh-positive, I do not need RhoGAM."
2. "Before my next pregnancy, I will need to have a RhoGAM shot."
3. "If my baby had the same blood type I do, it might cause complications."
4. "I need to get RhoGAM so I do not have problems with my next pregnancy."


4
Explanation:
1. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization.
2. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM). The injection must be given within 72 hours after delivery to prevent alloimmunization.
3. It is specifically the Rh factor that causes complications; ABO grouping does not cause alloimmunization.
4. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization, which could cause fetal anemia and other complications during the next pregnancy.

Nursing

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