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Author Question: Fraternal twins are delivered by your Rh-negative client. Twin A is Rh-positive and twin B is ... (Read 90 times)

daltonest1984

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on: Jun 28, 2018
Fraternal twins are delivered by your Rh-negative client. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the:
 
  a. direct Coombs test of twin A.
  b. direct Coombs test of twin B.
  c. indirect Coombs test of the mother.
  d. transcutaneous bilirubin level for both twins.

Question 2

Which assessment finding indicates the development of preeclampsia in the antepartum client?
 
  a. Slight edema of feet and ankles.
  b. Increased urine output
  c. Blood pressure of 128/80 mm Hg
  d. Weight gain of 3 pounds in 1 week


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macagnavarro

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
Administration of RhoGAM is based on the results of the indirect Coombs test on the client. A negative results confirms that the mother has not been sensitized by the positive Rh factor of twin A and that RhoGAM is indicated. A direct Coombs test is a diagnostic test used to determine maternal antibodies in fetal blood and to guide treatment of the newborn when Rh and ABO incompatibilities occur. Transcutaneous bilirubin is a noninvasive measure to determine the level of bilirubin in a newborn.

Answer to Question 2

ANS: D
Generalized edema often occurs with preeclampsia. Edema may first manifest as a rapid weight gain. Normal weight gain in the second and third trimesters is 1 pound per week; slight edema of feet and ankles, increased urine output, and blood pressure of 128/80 mm Hg are normal findings in pregnancy.


daltonest1984

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Reply 2 on: Jun 28, 2018
Great answer, keep it coming :)

ricroger

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Reply 3 on: Yesterday
:D TYSM

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