A nurse is preparing to administer RhoGam to a client who ...

[erika]

A nurse is preparing to administer RhoGam to a client who delivered a fetal demise. Which of the following must the nurse check before giving the injection?
 
  a. Verify that the direct Coombs test results are positive.
  b. Check that the fetus was at least 28 weeks' gestation.
  c. Make sure that the client is at least 3 days postdelivery.
  d. Confirm that the client is Rh negative.

Question 2

Which of these medications is commonly used to control postpartum bleeding related to uterine atony?
 
  a. Magnesium sulfate
  b. Phytonadione
  c. Oxytocin
  d. Warfarin

[ms_sulzle]

Answer to Question 1

ANS: d
Feedback
a. The direct Coombs test is irrelevant, and because the baby has died, the Coombs will likely not be performed.
b. RhoGam should be given no matter how old the fetus was.
c. RhoGam must be administered before 72 hours postpartum.
d. RhoGam is contraindicated for clients who are Rh+ (positive). The nurse must confirm that any client receiving RhoGam is Rh negative.

Answer to Question 2

ANS: c
Feedback
a. Magnesium sulfate is commonly used for PIH and preterm labor. It is a smooth muscle relaxant and can cause the uterus to relax.
b. Phytonadione (vitamin K) is important for clotting but will not cause the uterus to contract.
c. Oxytocin is commonly used to control postpartum bleeding related to uterine atony.
d. Warfarin is an anticoagulant and will increase the risk of hemorrhage.

[erika]

Excellent

[debra928]

Thanks for the timely response, appreciate it