The nurse is reviewing nursing documentation related to the care of a patient who had an amniocentesis. Which nursing notes reflect appropriate patient care?
1. An Rh-positive patient received RhoGAM after the amniocentesis.
2. The patient was monitored for 30 minutes after completion of the test.
3. Prior to discharge, the patient demonstrated vaginal spotting.
4. The patient reported that she takes insulin before each meal and at bedtime.
Correct Answer: 2
Rationale 1: Only Rh-negative patients receive RhoGAM after amniocentesis. The Rh-positive patient should not ever receive RhoGAM.
Rationale 2: Twenty to thirty minutes of fetal monitoring is performed to assess for fetal well-being and to rule out injury of the fetus or placenta during the exam.
Rationale 3: Vaginal spotting after the amniocentesis is not an expected finding. A patient experiencing vaginal bleeding of any amount after amniocentesis requires additional assessment and should not be sent home.
Rationale 4: Whether or not a patient takes insulin has nothing to do with amniocentesis. This answer does not relate to the question asked.
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