Fraternal twins are delivered by your Rh-negative client. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the:
a. direct Coombs test of twin A.
b. direct Coombs test of twin B.
c. indirect Coombs test of the mother.
d. transcutaneous bilirubin level for both twins.
ANS: C
Administration of RhoGAM is based on the results of the indirect Coombs test on the client. A negative results confirms that the mother has not been sensitized by the positive Rh factor of twin A and that RhoGAM is indicated. A direct Coombs test is a diagnostic test used to determine maternal antibodies in fetal blood and to guide treatment of the newborn when Rh and ABO incompatibilities occur. Transcutaneous bilirubin is a noninvasive measure to determine the level of bilirubin in a newborn.
You might also like to view...
An adult male patient with a long-standing dysrhythmia has been taking oral propranolol for the last several months, resulting in acceptable symptom control. What is a priority teaching point for the nurse to communicate to this patient?
A) The need to measure his radial pulse for 1 minute prior to each dose of propranolol B) The importance of not stopping the medication abruptly C) The need to avoid taking over-the-counter antacids D) The need to limit his intake of high-potassium foods
The nurse is working with a family of a 5-year-old child with the chronic condition of spina bifida in the lumbar area. The nurse partners with the family to plan goals of care
An appropriate goal for this child and family would be for the parents to: 1. Refuse a wheelchair for the child to motivate the child to learn to walk. 2. Verbalize their frustrations to the nurse. 3. Accept the school district's individualized transition plan (ITP). 4. Alternately assume care for the child 24 hours a day, seven days a week.
The nurse is assigned to a 67-year-old comatose patient. To minimize the risk for aspiration, the nurse should avoid placing the patient in what position?
a. Semi-Fowler's b. Sims' c. Supine d. Lateral
It is a generally accepted fact that for most older adults:
1. intellectual capabilities are impaired. 2. functional brain activities decrease. 3. functional intellectual capability is maintained. 4. creativity and judgment are severely impaired.