Which maternal–child client should the nurse see first?
1. Blood type B, Rh-positive
2. Blood type O, Rh-negative
3. Direct Coombs test positive
4. Indirect Coombs test negative
3
Explanation:
1. This client's blood type creates no problems.
2. This client is Rh-negative, but there is no indication that the alloimmunization has occurred.
3. A direct Coombs test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and the baby is making anti-Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia.
4. An indirect Coombs test looks for Rh antibodies in the maternal serum; a negative result indicates the client has not been alloimmunized.
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This would indicate dysfunction of which of these CNs? a. Motor component of CN IV b. Motor component of CN VII c. Motor and sensory components of CN XI d. Motor component of CN X and sensory component of CN VII
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Which nursing intervention will the nurse anticipate taking in the first half hour after the client has received ECT?
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