Chapter 18 Pregnancy at Risk: Gestational Onset My Nursing …

25) A client is concerned because she has been told her blood type and her babys are incompatible. What is the nurses best response?

1. This is called ABO incompatibility. It is somewhat common but rarely causes significant hemolysis.

2. This is a serious condition, and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy.

3. This is a condition caused by a blood incompatibility between you and your husband, but does not affect the baby.

4. This type of condition is very common, and the baby can receive a medication to prevent jaundice from occurring.

Answer: 1

Explanation: 1. When blood types, not Rh, are incompatible, it is called ABO incompatibility. The incompatibility occurs as a result of the maternal antibodies present in her serum and interaction between the antigen sites on the fetal RBCs.

Page Ref: 408

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 10 Compare Rh incompatibility to ABO incompatibility with regard to occurrence, treatment, and implications for the fetus/newborn.

26) If the woman is Rh negative and not sensitized, she is given Rh immune globulin to prevent what?

1. The potential for hemorrhage

2. Hyperhomocysteinemia

3. Antibody formation

4. Tubal pregnancy

Answer: 3

Explanation: 3. If the woman is Rh negative and not sensitized, she is given Rh immune globulin to prevent antibody formation.

Page Ref: 379

Cognitive Level: Remembering

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: I. 3. Use skills of inquiry, analysis, and information literacy to address practice issues. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and (a) quality and safe patient care, (b) excellence in nursing, and (c) advancement of the profession. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Compare Rh incompatibility to ABO incompatibility with regard to occurrence, treatment, and implications for the fetus/newborn.

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Chapter 18 Pregnancy at Risk: Gestational Onset My Nursing ...

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