Author Question: A patient recovering from an uneventful vaginal delivery is prescribed Rh (D) immune globulin ... (Read 32 times)

jake · **on:** Jun 27, 2018

A patient recovering from an uneventful vaginal delivery is prescribed Rh (D) immune globulin (RhIG). What should the nurse explain to the patient regarding the purpose of this medication?

A) It prevents fetal Rh blood formation.
B) It stimulates maternal D immune antigens.
C) It prevents maternal D antibody formation.
D) It promotes maternal D antibody formation.

Question 2

A pregnant patient with a history of premature cervical dilatation undergoes cervical cerclage. Which outcome indicates that this procedure has been successful?

A) The client delivers a full-term fetus at 39 weeks' gestation.
B) The client's membranes spontaneously rupture at week 30 of gestation.
C) The client experiences minimal vaginal bleeding throughout the pregnancy.
D) The client has reduced shortness of breath and abdominal pain during the pregnancy.

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

Answer to Question 1

C
Feedback:
Rh (D) immune globulin (RhIG) is given to Rh-negative pregnant patients to prevent the formation of maternal antibodies to the Rh-positive blood type of the developing fetus. This medication does not prevent fetal Rh blood formation, stimulate maternal immune antigens, or promote maternal antibody formation.

Answer to Question 2

A
Feedback:
Premature cervical dilatation is when the cervix dilates prematurely and cannot retain a fetus until term. After the loss of one child because of premature cervical dilatation, a surgical operation termed cervical cerclage can be performed to prevent this from happening in a second pregnancy. This procedure is the use of purse-string sutures placed in the cervix to strengthen the cervix and prevent it from dilating until the end of pregnancy. Evidence that this procedure is effective would be the client delivering a full-term fetus at 39 weeks' gestation. Spontaneous rupture of the membranes could indicate that the procedure was not successful. Vaginal bleeding could indicate another health problem or that the procedure was not successful. This procedure does not impact the patient's respirations or amount of abdominal pain while pregnant. These manifestations could indicate another health problem with the pregnancy.