1. A nurse is teaching a client about Rho(D) immunoglobulin

(RhoGAM). Which of the following statements by the client

indicated an understanding of the teaching?

a. I will receive this medication if my baby is Rh-negative

b. I will receive this medication at time of delivery

c. I will need a second dose of this medication when my

baby is 6 weeks old

d. I will need this medication if I have an amniocentesisRecommended because of the potential of fetal RBCs

entering the maternal circulation

2. A nurse is caring for a client who is to receive oxytocin

(Pitocin) to augment her labor. Which of the following

contraindicates the initiation of the oxytocin infusion and

requires notification of the provider?

a. Late decelerations- Oxytocin is contraindicated based

on late decelerations noted on fetal assessment findings

because they indicate uteroplacental insufficiency.

b. Baseline variability

c. Cessation of uterine dilation

d. Prolonged active phase of labor

3. A nurse on the newborn unit is planning discharge for four

clients. Which of the following will require care beyond that

of a standard follow-up visit with the provider after delivery?

a. A newborn being sent home after 22 hr after birthScreening tests must be repeated if they were performed

before he newborn was 24 hr. old

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