The nurse assessing a newborn with Rh sensitization explains the ...

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The nurse assessing a newborn with Rh sensitization explains the disorder to the parents. Which of the following accurately describes this condition?
 
  A) The disease occurs when an Rh-negative mother is pregnant with an Rh-positive fetus.
  B) The disease occurs from the first pregnancy on to subsequent pregnancies.
  C) The disease causes the woman's antibodies to destroy fetal white blood cells.
  D) The only treatment for the disease is performing an intrauterine transfusion.

Question 2

The nurse is planning care for a client who is on prolonged bed rest following a hip replacement. Which of the following is a nursing consideration for this client?
 
  A) Maintain prolonged bed rest to prevent contractures.
  B) Turn client frequently to prevent skin breakdown.
  C) Use abundant soap when bathing client.
  D) Plan a high-fat diet for the client.

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Answer to Question 1

A
Feedback:
A hemolytic disease of the newborn, erythroblastosis fetalis, can occur when an Rh-negative mother is pregnant with an Rh-positive fetus, resulting in Rh sensitization (Rh incompatibility). The disease does not occur in the first pregnancy, but occurs with increasing severity in future pregnancies. The condition causes the woman's antibodies to destroy fetal red blood cells. Phototherapy is used to treat milder cases after birth. If such measures do not help, a series of exchange transfusions probably will be performed. In severe cases, the fetus may receive an intrauterine transfusion before birth.

Answer to Question 2

B
Feedback:
Nurses should turn clients frequently to prevent skin breakdown. Prolonged bed rest is dangerous for clients with musculoskeletal disorders because of the increased risk for complications such as skin breakdown, contractures, constipation, and thromboembolism (also referred to as deep vein thrombosis). When bathing clients, nurses should minimize the use of soap. A high-protein diet should be served to the client.

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Excellent

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