Rh0 immune globulin will be ordered postpartum if which of the following situations occurs?
a. Mother Rh negative, baby Rh positive
b. Mother Rh negative, baby Rh negative
c. Mother Rh positive, baby Rh positive
d. Mother Rh positive, baby Rh negative
A
An Rh-negative mother delivering an Rh-positive baby may develop antibodies to fetal cells that entered her bloodstream when the placenta separated. The Rh0 immune globulin works to destroy the fetal cells in the maternal circulation before sensitization occurs.
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During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?
a. Recheck head control at next visit. b. Teach the parents appropriate exercises. c. Schedule the child for further evaluation. d. Refer the child for further evaluation if the anterior fontanel is still open.
Which best represents four subgroups of late adulthood the nurse may encounter when caring for older clients?
A. Young old, middle old, older old, oldest old B. Youthful old, mid-old, older old, oldest old C. Young old, middle old, older old, elite old D. Youthful old, mid-old, elite old, eldest old
The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone. Which diagnosis would be the priority for this client?
1. Social Isolation 2. Risk for Impaired Skin Integrity 3. Disturbed Sensory Perception 4. Risk for Injury
A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. The most appropriate nursing action to prevent or minimize these reactions with subsequent treatments is to:
a. Encourage drinking large amounts of favorite fluids. b. Encourage child to take nothing by mouth (remain NPO) until nausea and vomiting subside. c. Administer an antiemetic before chemotherapy begins. d. Administer an antiemetic as soon as child has nausea.