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Practice Question

 A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Answer Choices:

Correct Answer:

The client is Rh-negative and has delivered a Rh-positive newborn.

Rationale:

🟣Rho(D) immune globulin (RhoGAM) is administered to Rh-negative mothers who have delivered an Rh-positive infant to prevent the development of Rh isoimmunization in future pregnancies.

🟣During delivery, fetal red blood cells can enter the maternal circulation, stimulating the production of anti-D antibodies in the mother.

🟣These antibodies could cross the placenta in subsequent pregnancies, destroying fetal RBCs and causing hemolytic disease of the newborn.

🟣Administering Rho(D) immune globulin within 72 hours postpartum prevents antibody formation by neutralizing Rh-positive fetal cells before maternal sensitization occurs.

🟣This intervention is essential for protecting future pregnancies and ensuring maternal-fetal compatibility.

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This question is from Custom maternity exam 1 fall 2025 Marcellus -Examplify (1) which contains 13 questions.

More Questions from This Exam
When providing culturally competent care to patients from diverse backgrounds, what is the nurse's primary role in terms of cultural accommodation?

Answer Choices:

A. Assisting the client to maintain traditional values and practices
B. Supporting and facilitating the client's use of cultural practices that are beneficial to the client's health
C. Assisting the client to modify cultural practices that are not beneficial to the client's health
D. Advocating, mediating, negotiating, and intervening between the client's culture and health care culture on behalf of the client
A pregnant client at 32 weeks of gestation with gestational hypertension and intrauterine growth restriction (IUGR) asks the nurse why regular fetal testing is important. Which explanation by the nurse is most accurate regarding the pathophysiological impact of gestational hypertension and IUGR on fetal well-being?

Answer Choices:

A. Gestational hypertension and IUGR can lead to increased blood flow to the placenta, promoting fetal growth.
B. Gestational hypertension and IUGR may cause decreased uteroplacental blood flow, resulting in non-reassuring fetal status and growth restriction.
C. Gestational hypertension and IUGR have no significant impact on fetal development and well-being.
D. Gestational hypertension and IUGR primarily affect maternal health without directly influencing fetal growth.
A postpartum client who experienced abruptio placentae is at risk for developing which of the following coagulopathies?

Answer Choices:

A. DIC (Disseminated Intravascular Coagulation)
B. Heparin-induced thrombocytopenia
C. Thrombotic thrombocytopenic purpura
D. Von Willebrand disease
From Exam
Custom maternity exam 1 fall 2025 Marcellus -Examplify (1)

13 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Maternal-Child
  • Answer Choices: 4
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