A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

Correct Answer: B

Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. This combination can lead to hemolytic disease in newborns due to Rh incompatibility. If the mother is Rh negative and the father is Rh positive, there is a chance that the fetus may inherit the Rh-positive factor from the father, causing the mother's immune system to produce antibodies against the Rh factor in subsequent pregnancies, potentially leading to hemolytic disease in newborns. Incorrect choices: A: The mother is Rh positive, and the father is Rh negative - This combination does not result in Rh incompatibility as the fetus will not inherit the Rh-negative factor from the father. C: The mother and the father are both Rh positive - Rh incompatibility occurs when the mother is Rh negative and the father is Rh positive, so this choice is incorrect. D: The mother and the father are both Rh negative - In this case, there is no Rh incompatibility present,

Correct Answer: A

Rationale: The correct answer is A: Blood pressure 148/94mm Hg. High blood pressure in a client with preeclampsia indicates worsening condition and potential for eclampsia. Magnesium sulfate is given to prevent seizures, so high blood pressure needs immediate provider attention. Incorrect Choices: B: Respiratory rate 14mm - This respiratory rate is within normal range. C: Urinary output 20 mL/hr - Low urinary output should be monitored but is not the priority in this situation. D: 2+deep tendon reflexes - Normal deep tendon reflexes are expected with magnesium sulfate therapy.

Correct Answer: D

Rationale: The correct answer is D: Assist the client into the knee-chest position. This position helps relieve pressure on the umbilical cord, preventing compression and potential harm to the fetus. By positioning the client in knee-chest, gravity can aid in moving the fetus off the cord. Administering oxytocin (choice A) is not appropriate as the priority is to relieve pressure on the cord. Applying oxygen (choice B) does not address the immediate risk posed by the cord prolapse. Insertion of an intrauterine pressure catheter (choice C) is not indicated when the priority is to alleviate cord compression.

Correct Answer: D

Rationale: The correct answer is D because emphasizing the use of condoms is crucial for preventing both sexually transmitted diseases and pregnancy among middle school students who may engage in sexual activity. Condoms are the most effective method for dual protection at this age. Choice A focuses on setting limits but may not address the practical aspect of protection. Choice B is important but not as critical as ensuring proper protection. Choice C is not suitable for this age group due to legal and ethical considerations.

Correct Answer: D

Rationale: Step 1: The nurse should engage the client to gather more information about the craving for chalk. This helps in understanding the underlying cause. Step 2: By asking the client to elaborate on the reason for the craving, the nurse can assess if it's related to a medical condition or nutritional deficiency. Step 3: Understanding the client's perspective can guide the nurse in providing appropriate support and interventions. Step 4: Referring the client to a therapist (option A) without first exploring the issue may not address the root cause effectively. Step 5: Hypotension (option B) and nasal congestion (option C) are not directly related to the issue of chalk craving, making them incorrect choices. In summary, option D is correct as it promotes client-centered care by exploring the client's concerns before considering further interventions.