Which maternalchild client should the nurse see first? 1. ...

[HudsonKB16]

Which maternalchild client should the nurse see first?
 
  1. Blood type B, Rh-positive
  2. Blood type O, Rh-negative
  3. Direct Coombs test positive
  4. Indirect Coombs test negative

Question 2

A postpartum client with blood type A, Rh-negative delivered a newborn with blood type AB, Rh-positive. Which statement indicates that teaching about this blood type inconsistency has been effective?
 
  1. Because my baby is Rh-positive, I do not need RhoGAM.
  2. Before my next pregnancy, I will need to have a RhoGAM shot.
  3. If my baby had the same blood type I do, it might cause complications.
  4. I need to get RhoGAM so I do not have problems with my next pregnancy.

[miss.ashley]

Answer to Question 1

3
Explanation:
1. This client's blood type creates no problems.
2. This client is Rh-negative, but there is no indication that the alloimmunization has occurred.
3. A direct Coombs test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and the baby is making anti-Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia.
4. An indirect Coombs test looks for Rh antibodies in the maternal serum; a negative result indicates the client has not been alloimmunized.

Answer to Question 2

4
Explanation:
1. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization.
2. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM). The injection must be given within 72 hours after delivery to prevent alloimmunization.
3. It is specifically the Rh factor that causes complications; ABO grouping does not cause alloimmunization.
4. Rh-negative mothers who give birth to Rh-positive infants should receive Rh immune globulin (RhoGAM) to prevent alloimmunization, which could cause fetal anemia and other complications during the next pregnancy.