The priority assessment for the Rh-positive infant whose mother's ...

[sarasara]

The priority assessment for the Rh-positive infant whose mother's indirect Coombs test was positive at 36 weeks is:
 
  a. skin color.
  b. temperature.
  c. respiratory rate.
  d. blood glucose level.

Question 2

The nurse should be alert to a blood group incompatibility if:
 
  a. both mother and infant are O-positive.
  b. mother is A-positive and infant is A-negative.
  c. mother is O-positive and infant is B-negative.
  d. mother is B-positive and infant is O-negative.

[flannelavenger]

Answer to Question 1

ANS: A
An Rh-negative infant whose mother was sensitized during the current pregnancy will have decreased red blood cells (RBCs) and exhibit skin pallor because of erythroblastosis fetalis. The temperature, respiratory rate, and blood glucose level are not assessments associated with erythroblastosis fetalis.

Answer to Question 2

ANS: D
Blood group incompatibilities occur because O-positive mothers have natural antibodies to type A or B blood. When mother and infant both have blood group O or A, no incompatibility exists. The mother with blood group B does not have any antibodies to group O.