Author Question: Which maternalchild patient should the nurse see first? 1. Blood type O, Rh-negative 2. Indirect ... (Read 143 times)

Mimi · **on:** Jun 28, 2018

Which maternalchild patient should the nurse see first?

1. Blood type O, Rh-negative
2. Indirect Coombs' test negative
3. Direct Coombs' test positive
4. Blood type B, Rh-positive

Question 2

The patient with blood type A, Rh-negative delivered yesterday. Her infant is blood type AB, Rh-positive. Which statement indicates that teaching has been effective?

1. I need to get RhoGAM so I don't have problems with my next pregnancy.
2. Because my baby is Rh-positive, I don't need RhoGAM.
3. If my baby had the same blood type I do, it might cause complications.
4. Before my next pregnancy, I will need to have a RhoGAM shot.

bfulkerson77 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: This patient is Rh-negative, but there is no indication that the alloimmunization has occurred.
Rationale 2: An indirect Coombs' test looks for Rh antibodies in the maternal serum; a negative result indicates the patient has not been alloimmunized.
Rationale 3: A direct Coombs' test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and the baby is making anti-Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia.
Rationale 4: This patient's blood type creates no problems.

Answer to Question 2

Correct Answer: 1
Rationale 1: Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization, which could cause fetal anemia and other complications during the next pregnancy.
Rationale 2: Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization.
Rationale 3: It is specifically the Rh factor that causes complications; ABO grouping does not cause alloimmunization.
Rationale 4: Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM). The injection must be given with 72 hours after delivery to prevent alloimmunization.