Author Question: The nurse has just administered Rho(D) immune globulin (RhoGAM) to a postpartal woman. What ... (Read 39 times)

Awilson837 · **on:** Jul 23, 2018

The nurse has just administered Rho(D) immune globulin (RhoGAM) to a postpartal woman. What information will the nurse include when teaching this patient?

a. Avoid live vaccines for 3 months.
b. There are no adverse reactions to this injection.
c. The immune globulin does not cross into breast milk.
d. You will not need to have the injection with future deliveries.

Question 2

The nurse is caring for a newborn infant whose mother is HBsAg-negative. The nurse expects to give the infant

a. hepatitis B immune globulin.
b. hepatitis B immune globulin and hepatitis B vaccine 12 hours later.
c. no vaccine.
d. recombinant hepatitis B vaccine.

jonathanballen97 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Patients receiving Rho(D) immune globulin should be cautioned to avoid live vaccines for 3 months. Patients can experience hypersensitivity reactions to the immune globulin, and Rho(D) immune globulin crosses into breast milk. Women will need to have the immune globulin with future deliveries if the infant is Rh-positive.

Answer to Question 2

ANS: D
Infants whose mothers are HBsAg-negative will need to receive recombinant hepatitis B vaccine. Immune globulin is given to infants whose mother's status is unknown or who are positive. All infants receive the hepatitis B vaccine.