Author Question: A postpartum patient calls the nursery to report that her 3-day-old newborn has passed a bright ... (Read 106 times)

futuristic · **on:** Jun 27, 2018

A postpartum patient calls the nursery to report that her 3-day-old newborn has passed a bright green stool. The nurse's best response is:

1. Take your newborn to the pediatrician.
2. There might be a possible food allergy.
3. Your newborn has diarrhea.
4. This is a normal occurrence.

Question 2

A clinic nurse is planning when to administer Rh immune globulin (RhoGAM) to an Rh-negative pregnant patient. When should the first dose of RhoGAM be administered?

1. After the birth of the infant
2. 1 month postpartum
3. During labor
4. At 28 weeks' gestation

anyusername12131 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: It is not necessary for the patient to take her newborn to the pediatrician.
Rationale 2: The green color of stool is not due to food allergies.
Rationale 3: The green color of stool is not due to diarrhea.
Rationale 4: By the third day of life, the newborn's stools appear a thin brown to green in color.

Answer to Question 2

4
Rationale 1: After birth would be too late for the first dose of RhoGAM if transplacental hemorrhage, which is possible during pregnancy, has occurred.
Rationale 2: 1 month postpartum would be too late for the first dose of RhoGAM if transplacental hemorrhage, which is possible during pregnancy, has occurred.
Rationale 3: During labor would be too late for the first dose of RhoGAM if transplacental hemorrhage, which is possible during pregnancy, has occurred.
Rationale 4: Since transplacental hemorrhage is possible during pregnancy, an antibody screen is performed on an Rh-negative woman at 28 weeks' gestation. If she has no antibody titer, she is given an IM injection of 300 mcg Rh immune globulin (RhoGAM).