RhoGAM is given to the postpartum patient for the purpose of: ...

[scienceeasy]

RhoGAM is given to the postpartum patient for the purpose of:
 
  1. Preventing congenital birth defects through vaccination.
  2. Preventing or avoiding the chronic state of infection of hepatitis B.
  3. Preventing sensitization from the fetomaternal transfusion of Rh-positive fetal red blood cells.
  4. Preventing the spread of Group B streptococcal infection in the neonate.

Question 2

A client at 40 weeks' gestation is to undergo stripping of the membranes. The nurse provides the client with information about the procedure.
 
  Which information is accurate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Intravenous administration of oxytocin will be used to initiate contractions.
  2. The physician/CNM will insert a gloved finger into the cervical os and rotate the finger 360 degrees.
  3. Stripping of the membranes will not cause discomfort, and is usually effective.
  4. Labor should begin within 24-48 hours after the procedure.
  5. Uterine contractions, cramping, and a bloody discharge can occur after the procedure.

[medine]

Answer to Question 1

3
Rationale 1: The rubella vaccination helps prevent congenital birth defects.
Rationale 2: The hepatitis vaccine (Heptavax) helps prevent or avoid the chronic state of infection of hepatitis B.
Rationale 3: Administering a RhoGAM injection to an Rh-negative mother who delivered an Rh-positive infant helps prevent sensitization from the fetomaternal transfusion of Rh-positive fetal red blood cells.
Rationale 4: Antibiotics in the mother during and after birth help prevent the spread of Group B streptococcal infection in the neonate.

Answer to Question 2

2, 4, 5
Explanation: 2. This motion separates the amniotic membranes that are lying against the lower uterine segment and internal os from the distal part of the lower uterine segment.
4. If labor is initiated, it typically begins within 24-48 hours.
5. Uterine contractions, cramping, scant bleeding, and bloody discharge can occur after stripping of the membranes.

[scienceeasy]

Correct answers!

[medine]

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