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.
You might also like to view...
The nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100°F B) Tachypnea and restlessness C) Frequent loose stools D) Weight loss of 1 pound since yesterday
A week after stopping to assist at an injury accident, the nurse receives a check for $100 from the patient's family as a thank-you for the care provided
What is the best description of the effect this gift has on the nurse's protection under the Good Samaritan law? 1. The Good Samaritan law will still protect the nurse. 2. Exchange of money always specifically invalidates protection under Good Samaritan laws. 3. Thank-you gifts have no bearing on Good Samaritan laws. 4. This gift may change the nurse's care to fee-for-service, changing Good Samaritan protection.
The reconstituted family is most likely to experience
a. economic instability c. social isolation b. equal power sharing d. significant relation-ship losses
A client just recently diagnosed with having panic disorder asks the nurse if there is any way to predict when an attack will occur. The nurse explains:
A) "If you are stressed in any way you are more likely to have an attack." B) "Unfortunately attacks can occur at anytime without warning." C) "People usually experience attacks in surroundings where a previous attack occurred." D) "Many people will have an aura, such as flashes of light or a strange smell, just before the attack occurs."