A patient is concerned because she has been told her blood type ...

[Sufayan.ah]

A patient is concerned because she has been told her blood type and her baby's are incompatible. The best response by the nurse would be:
 
  1. This is called ABO incompatibility, and if the baby becomes jaundiced, she can be treated with a special light treatment.
  2. This is a serious condition, and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy.
  3. This is a condition caused by a blood incompatibility between you and your husband, but does not affect the baby.
  4. This type of condition is very common, and the baby can receive a medication to prevent jaundice from occurring.

Question 2

The nurse is caring for a postpartum patient who is at risk for developing early postpartum hemorrhage.
 
  What interventions would be included in the plan of care to detect this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Weigh perineal pads if the patient has a slow, steady, free flow of blood from the vagina.
  2. Massage the uterus every 2 hours.
  3. Maintain vascular access.
  4. Obtain blood specimens for hemoglobin and hematocrit.
  5. Encourage the patient to void if the fundus is displaced upward or to one side.

[jessicaduplan]

Answer to Question 1

1
Rationale 1: When blood types, not Rh, are incompatible, it is called ABO incompatibility. The mother has a blood type that has antibodies against the newborn blood cells and causes these cells to break down.
Rationale 2: Although this can be serious, additional blood studies are not typically done. There is no medication that can be given to the mother to prevent this from occurring.
Rationale 3: The incompatibility is not between the mother's and father's blood but between the mother's and the infant's blood.
Rationale 4: ABO incompatibility is common, but there is no medication to give the baby that will prevent jaundice.

Answer to Question 2

1,4
Rationale 1: Weighing the perineal pads will indicate whether the patient is bleeding more than anticipated.
Rationale 2: This intervention will help prevent hemorrhage if done when the nurse detects a boggy uterus.
Rationale 3: This intervention should be done if the assessments are not reassuring.
Rationale 4: The nurse reviews these findings when available, and compares them to the admission baseline.
Rationale 5: This is necessary to empty the bladder, but will not detect excess bleeding.