Author Question: It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent ... (Read 70 times)

luminitza · **on:** Jun 27, 2018

It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse anticipates that the client will receive RhoGAM at which time?

A) At 34 weeks' gestation and immediately before discharge
B) 24 hours before delivery and 24 hours after delivery
C) In the first trimester and within 2 hours of delivery
D) At 28 weeks' gestation and again within 72 hours after delivery

Question 2

A pregnant patient tells the nurse that she hopes the baby is not in the breech position because she has heard that this causes difficult labor.

What should the nurse include when explaining the reasons for this presentation to the patient? (Select all that apply.) A) Multiple fetuses
B) Maternal diabetes
C) Fetal birth defects
D) Lax abdominal muscles
E) Fetal age less than 40 weeks

bassamabas · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
To prevent isoimmunization, the woman should receive RhoGAM at 28 to 32 weeks gestation and again within 72 hours after delivery.

Answer to Question 2

A, C, D, E
Feedback:
Reasons for the breech presentation include multiple fetuses, lax abdominal muscles, fetal birth defects such as hydrocephalus, and fetal age less than 40 weeks. Maternal diabetes is not identified as cause for a fetal breech presentation.