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NCLEX-RN · Question #504

A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician has ordered a RhoGAM injection. Which statement by the client demonstrates that more teaching is needed…

The correct answer is A. "I'm getting this shot so that my baby won't develop antibodies against my blood, right?". (A) RhoGAM is given to Rh-negative mothers to prevent the maternal Rh immune response to fetal Rh-positive antigens. (B) If the infant is Rh positive, the mother will receive another dose postdelivery to prevent maternal sensitization. (C) Prevention of maternal sensitization…

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Question

A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician has ordered a RhoGAM injection. Which statement by the client demonstrates that more teaching is needed related to this therapy?

Options

  • A"I'm getting this shot so that my baby won't develop antibodies against my blood, right?"
  • B"I understand that if my baby is Rh positive I'll be getting another one of these injections."
  • C"This shot should help to protect me in future pregnancies if this baby is Rh positive, like my
  • D"This shot will prevent me from becoming sensitized to Rh-positive blood."

How the community answered

(39 responses)
  • A
    79% (31)
  • B
    8% (3)
  • C
    3% (1)
  • D
    10% (4)

Explanation

(A) RhoGAM is given to Rh-negative mothers to prevent the maternal Rh immune response to fetal Rh-positive antigens. (B) If the infant is Rh positive, the mother will receive another dose postdelivery to prevent maternal sensitization. (C) Prevention of maternal sensitization will protect future pregnancies because the mother's blood will be free of antibodies against her fetus. (D) RhoGAM prevents maternal sensitization to Rh-positive blood.

Topics

#RhoGAM mechanism#Rh sensitization#Rh incompatibility#patient teaching evaluation

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