Author Question: A 10-week pregnant woman who is Rh-negative and has a negative indirect antibody test a. does not ... (Read 44 times)

dakota nelson · **on:** Jun 27, 2018

A 10-week pregnant woman who is Rh-negative and has a negative indirect antibody test

a. does not require administration of RhoGAM
b. should be retested at 38 weeks' gestation
c. requires RhoGAM administration after delivery
d. should receive a prophylactic dose of RhoGAM at 28 weeks

Question 2

When providing discharge instructions regarding circumcision care, the nurse would identify a need for further teaching when the mother says:

a. I'll make sure to clean away any clear filmy substance that forms on the penis.
b. If any bleeding occurs I'll hold gentle pres-sure on the area and call the pediatrician if it continues.
c. When doing cord care, I'll be careful to avoid any alcohol draining to the circumcision site.
d. I will continue to apply petroleum jelly for a few days to prevent the site from adhering to the diaper.

cici · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
A 10-week pregnant woman who is Rh-negative and has a negative indirect antibody test should receive a prophylactic dose of RhoGAM at 28 weeks. Although RhoGAM administration can be done within 3 days after delivery, Rh immunization is best accomplished at 28 weeks' gestation.

Answer to Question 2

A
Further teaching is needed when the mother says, I'll make sure to clean away any clear filmy substance that forms on the penis. This is the gauze or Vaseline applied to the end of the circumcised penis to protect it from rubbing or adhering to the diaper and beginning to bleed.