Author Question: Which immunoglobulin would the nurse explain as being primarily responsible for the passive immunity ... (Read 92 times)

javeds · **on:** Jun 27, 2018

Which immunoglobulin would the nurse explain as being primarily responsible for the passive immunity exhibited by newborns?

A) IgA
B) IgG
C) IgM
D) IgE

Question 2

After describing continuous electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional teaching?

A) This type of monitoring is the most accurate method for our baby.
B) Unfortunately, I'm going to have to stay quite still in bed while it is in place.
C) This type of monitoring can only be used after my membranes rupture.
D) You'll be inserting a special electrode into my baby's scalp.

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

Answer to Question 1

B
Response:
IgG is acquired transplacentally, providing the newborn with passive immunity to antigens to which the mother had developed antibodies. IgA, IgD, IgE, and IgM do not cross the placenta and require an antigenic challenge for production.

Answer to Question 2

B
Response:
With continuous internal electronic monitoring, maternal position changes and movement do not interfere with the quality of the tracing. Continuous internal monitoring is considered the most accurate method, but it can be used only if certain criteria are met, such as rupture of membranes. A spiral electrode is inserted into the fetal presenting part, usually the head.