The client with blood type O Rh-negative has given birth to an infant with blood type O Rh-positive. The infant has become visibly jaundiced at 12 hours of age. The mother asks why this is happening. What is the best response by the nurse?
1. "The RhoGAM you received at 28 weeks' gestation did not prevent alloimmunization."
2. "Your body has made antibodies against the baby's blood that are destroying her red blood cells."
3. "The red blood cells of your baby are breaking down because you both have type O blood."
4. "Your baby's liver is too immature to eliminate the red blood cells that are no longer needed."
2
Explanation: 2. This explanation is accurate and easy for the client to understand. Newborns of Rh-negative and O blood type mothers are carefully assessed for blood type status, appearance of jaundice, and levels of serum bilirubin.
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