A patient is a gravida 1, Rh-negative woman at a 28 weeks' gestation. The father of her child is Rh positive. The mother is asking the nurse about the effect on her unborn child of RhoGAM that has been ordered. What is the nurse's best reply?
a. "Your child will do well after birth once transfusions are administered."
b. "If the baby is Rh negative at birth, he or she will need RhoGAM also."
c. "RhoGAM kills antibodies you make, so your child will be protected."
d. "Your baby may be Rh positive and cause you to make antibodies. These won't affect this baby but could affect future children if RhoGAM isn't given."
ANS: D
An Rh-negative mother and an Rh-positive father have the potential for an Rh-positive baby. At birth or during any time that the uterus ruptures, fetal blood circulation can mix with maternal circulation, causing the mother to produce antibodies (active immunity) against Rh-positive blood. This would cause Rh hemolytic disease in children of future pregnancies. Rho(D) immune globulin suppresses the stimulation of active immunity by Rh-positive foreign red blood cells that enter maternal circulation at the time of delivery, at the termination of pregnancy, or during a transfusion of inadequately typed blood. Transfusions may cause further problems. Immune globulin is given to the mother. The drug does not kill antibodies; it suppresses production.
You might also like to view...
In most cases of elder abuse, the abusers are
a. Long-term care facility employees b. Privately paid caregivers c. Family members who are living with the older adult d. Con artists who target older adults
A patient has been admitted to the hospital with advanced colon cancer and is receiving palliative care at this time. The nurse feels anxious in caring for this patient, but realizes which of the following?
a. The patient needs the nurse's presence and personal connection. b. Remaining silent would signify a noncar-ing attitude. c. All people react to loss in the same way. d. Reminiscing only makes a difficult situa-tion worse.
To meet patient care needs, the LPN receives authority to delegate care to unlicensed personnel from:
1. the MD or RN who hired them. 2. the National Nurse Practice Act. 3. the 1994 Entry Level Competencies Report. 4. the Nurse Practice Act of the individual state.
The nurse is caring for a child with a closed head injury. The child's blood pressure is 120/58 mmHg, and intracranial pressure is 16 mmHg
What is this child's cerebral perfusion pressure? (Enter numeric value only. Calculate to the nearing hundredth decimal point.)