Editing Maternal and Newborn Nursing – LPN Practice Questions (section)

==Question 15==
An LPN is reinforcing discharge teaching with a client who is Rh negative and gave birth to an Rh-positive newborn. The client asks why she is receiving an injection before going home. Which response is most accurate?
# "It will protect this baby from developing jaundice."
# "It prevents your body from making antibodies that could harm a future baby."
# "It boosts your immunity so you do not get an infection after delivery."
# "It replaces the blood you lost during the birth."

'''Answer:''' 2 (B). "It prevents your body from making antibodies that could harm a future baby."

''Rationale:'' Rho(D) immune globulin is given within 72 hours of birth when an Rh-negative person delivers an Rh-positive newborn. It destroys fetal Rh-positive red cells that entered the maternal circulation before the maternal immune system can be '''sensitized''' and form permanent anti-D antibodies, which would attack the red cells of a future Rh-positive fetus and cause hemolytic disease of the newborn. It is also given at about 28 weeks of pregnancy and after events such as miscarriage, ectopic pregnancy, amniocentesis, or abdominal trauma. Options 1, 3, and 4 are incorrect: it does nothing for the current infant, it is not a vaccine against infection, and it is not a blood volume replacement.

[[Category:Maternal and Newborn Nursing]]
[[Category:Licensed Practical Nurse (NCLEX-PN)]]
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