Author Question: A postpartum woman is Rho(D)-negative and needs an injection of Rho(D) immune globulin. Which of the ... (Read 40 times)

bobbysung · **on:** Jun 28, 2018

A postpartum woman is Rho(D)-negative and needs an injection of Rho(D) immune globulin. Which of the following doses would the perinatal nurse expect to be ordered?

A.
120 g
B.
250 g
C.
300 g
D.
350 g

Question 2

The perinatal nurse listens as the patient describes her labor and emergency cesarean birth. Providing an opportunity to review this experience may assist the patient in doing which of the following?

A.
Decreasing her ambivalence about her labor and birth
B.
Developing more positive feelings about her labor and birth
C.
Initiating her role development in the letting-go stage
D.
Understanding the various demands associated with the maternal role

manuelcastillo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Nonsensitized women who are Rho(D)-negative and have given birth to an Rh(D)-positive infant should receive 300 g of Rho(D) immune globulin (RhoGAM) within 72 hours after giving birth. RhoGAM should be given whether or not the mother received RhoGAM during the antepartum period. In some situations (e.g., hemorrhage, exchange of maternal-fetal blood), a larger dose of RhoGAM may be indicated.

Answer to Question 2

ANS: B
After a cesarean birth, especially when unplanned, nurses must be aware of the myriad of potential psychological issues that may arise. Research suggests that women may perceive cesarean birth to be a less positive experience than a vaginal birth, and for unplanned or emergent cesarean deliveries, the experience of cesarean birth may be associated with more negative perceptions of the birthing experience. Allowing the patient to talk about the experience can help her develop a more positive attitude about her own experience.