NCLEX-PN
Health Promotion and Maintenance NCLEX Questions Questions
Extract:
Question 1 of 5
An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?
Correct Answer: A
Rationale: In this scenario, the Rh-negative woman has been sensitized, posing a risk to any Rh-positive fetus she delivers. The most appropriate nursing action is to provide emotional support to help the family cope with the infant's condition. This includes addressing potential outcomes like death or neurological damage. Administering MICRhoGam (
Choice
B) to a sensitized woman is not recommended; it is only given post-abortion or ectopic pregnancy to prevent sensitization. Rh-immune globulin is not administered to the newborn (
Choice
C) in this case. Analyzing the maternal Direct Coombs' test (
Choice
D) is unnecessary; instead, an Indirect Coombs' test is used to assess sensitization.
Therefore, the correct nursing action is to offer emotional support to the family, acknowledging the challenges they may face.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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