A client is concerned because she has been told her blood type and her baby's are incompatible. The best response by the nurse would be:

1. "This is called ABO incompatibility, and if the baby becomes jaundiced, she can be treated with a special light treatment."
2. "This is a serious condition, and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy."
3. "This is a condition caused by a blood incompatibility between you and your husband, but does not affect the baby."
4. "This type of condition is very common, and the baby can receive a medication to prevent jaundice from occurring."


1
Rationale:
1. When blood types, not Rh, are incompatible, it is called ABO incompatibility. The mother has a blood type that has antibodies against the newborn blood cells and causes these cells to break down, causing jaundice. It can be treated with special lights called bili-lights.
2. Although this can be serious, additional blood studies are not typically done. There is no medication that can be given to the mother to prevent this from occurring.
3. The incompatibility is not between the mother's and father's blood but between the mother's and the infant's blood.
4. ABO incompatibility is common, but there is no medication to give the baby that will prevent jaundice.

Nursing

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