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

[yoooooman]

A client is concerned because she has been told her blood type and her baby's are incompatible. What is the nurse's best response?
 
  1. This is called ABO incompatibility. It is somewhat common but rarely causes significant hemolysis.
  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 developing a care plan for a newly delivered mother who had a forceps delivery. Which nursing diagnosis is appropriate for a postpartal mother with lacerations from a forceps delivery?
 
  1. Alteration in Body Image related to scar formation
  2. High Risk for Infection related to lochia and decreased perineal and birth canal integrity
  3. Alteration in Nutrition: more than body requirements related to increased appetite
  4. Self-care Deficit related to poor opportunity for independence

[SamMuagrove]

Answer to Question 1

1
Explanation: 1. When blood types, not Rh, are incompatible, it is called ABO incompatibility. The incompatibility occurs as a result of the maternal antibodies present in her serum and interaction between the antigen sites on the fetal RBCs.

Answer to Question 2

2
Rationale 1: While the mother might have concerns about eventual scar formation, this is not a priority.
Rationale 2: This nursing diagnosis is appropriate for this patient.
Rationale 3: Alteration in Nutrition is not related to the problem of lacerations in the postpartal period.
Rationale 4: Self-care Deficit is not related to the problem of lacerations in the postpartal period.

[yoooooman]

Excellent

[Dominic]

Gracias!