The nurse would expect RhoGAM to be administered to which client?
1. A client at 28 weeks' gestation
2. A client undergoing kidney transplant
3. An HIV-positive client
4. An immunosuppressed client
Correct Answer: 1
Rationale 1: RhoGAM is indicated for the pregnant client or one who is 72 hours post-delivery.
Rationale 2: RhoGAM is not an immunosuppressant for kidney transplant clients.
Rationale 3: RhoGAM does not fight HIV disease.
Rationale 4: RhoGAM does not enhance immunity in the immunosuppressed.
Global Rationale: The administration of RhoGAM is recommended at 28 weeks' gestation, within 72 hours postpartum, within 3 hours of spontaneous or induced pregnancy termination, and following any event that could lead to transplacental hemorrhage (such as amniocentesis, chorionic villi sampling, or abdominal trauma). RhoGAM is not an immunosuppressant, is not given to fight HIV, and does not enhance immunity in the immunosuppressed.
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