Chapter 5 NUR335
Rho(D) immune globulin is administered to which clients? Select all that apply.
An Rh-negative woman who had a spontaneous abortion yesterday. An Rh-negative woman following an ectopic pregnancy, A Rh negative woman who gives birth at 32 weeks gestation to a baby with A+ blood
The nurse is teaching a preconception class. A participant asks how long after ovulation can the egg be fertilized. What is the best response by the nurse?
An egg can only be fertilized for about 24 hours after release from the ovary.
An infant born at 35 weeks gestation is being screened for hypoglycemia. During the first 24 hours of life, when will the nurse screen this infant?
Before feedings
When performing an assessment on a neonate, which assessment finding is suggestive of hypothermia?
Bradycardia
A primigravida client learns she is Rh negative and the father of her baby is Rh positive. What is the potential risk to the woman during this pregnancy?
Formation of antibodies to Rh-positive blood
The nurse assesses the late preterm infant for which problems during the 12 hours immediately following birth? Select all that apply.
Hypoglycemia, hypothermia, respiratory distress
The charge nurse in Labor and delivery hears the cord prolapse protocol activated, then promptly directs the staff to do which of the following activities first?
Open the operating room for a cesarean birth
The nurse assesses a neonate born at 36 weeks gestation. The neonate is grunting, has nasal flaring, and subcostal retractions. Respiratory rate is 82 breaths/min, and on auscultations there are crackles in the lungs. What is the nurse's assessment of the neonate's condition?
Transient tachypnea
During active labor, there is a gush of clear fluid and the fetal heart rate drops to 100 bpm. A vaginal examination reveals a loop of umbilical cord in the vagina. The nurse places the client in which position?
Trendelenburg