The patient with blood type A, Rh-negative delivered yesterday. Her infant is blood type AB, Rh-positive. Which statement indicates that teaching has been effective?
1. "I need to get RhoGAM so I don't have problems with my next pregnancy."
2. "Because my baby is Rh-positive, I don't need RhoGAM."
3. "If my baby had the same blood type I do, it might cause complications."
4. "Before my next pregnancy, I will need to have a RhoGAM shot."
Correct Answer: 1
Rationale 1: 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.
Rationale 2: Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization.
Rationale 3: It is specifically the Rh factor that causes complications; ABO grouping does not cause alloimmunization.
Rationale 4: Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM). The injection must be given with 72 hours after delivery to prevent alloimmunization.
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