The nurse receives the following report on a patient who ...

[Mr. Wonderful]

The nurse receives the following report on a patient who delivered 36 hours ago: para 1, rubella-immune, A-negative, antibody screen negative, newborn B-positive, Coombs' negative, discharge orders are written for both mother and newborn.
 
  What should be the priority action by the nurse? 1. Ask whether the mother is breast- or bottle-feeding.
  2. Administer rubella vaccine.
  3. Determine whether RhoGAM has been given.
  4. Discuss the discharge education with the patient.

Question 2

The nurse tells a mother that the doctor is preparing to circumcise her newborn. The mother expresses concern that the infant will be uncomfortable during the procedure. The nurse explains that the physician will numb the area before the procedure.
 
  Additional methods of comfort often used during the procedure include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Providing a pacifier
  2. Stroking the head
  3. Restraining both arms and legs
  4. Talking to the infant
  5. Giving the infant a sedative before the procedure

[javimendoza7]

Answer to Question 1

3
Rationale 1: This is important but is not the top priority.
Rationale 2: The client is rubella-immune, and does not need the rubella vaccine.
Rationale 3: The patient is A-negative and the newborn B-positive. The patient needs RhoGAM prior to discharge. Without RhoGAM, the patient will make antibodies against Rh-positive blood, and future pregnancies would be in jeopardy.
Rationale 4: Discharge education is always important, but in this case is not the most important action.

Answer to Question 2

1, 2, 4
Explanation: 1. Providing a pacifier is an accepted method of soothing during the circumcision.
2. Stroking the head is an accepted method of soothing during the circumcision.
4. Talking to the infant is an accepted method of soothing during the circumcision.

[Mr. Wonderful]

Gracias!

[ricroger]

TYSM