Practice Quiz

Certified Midwife Exam Prep

Category - Midwifery

Start a Study Session Sign up for Question of the Day

A midwife is managing the care of four clients. She should administer RhoGAM to the following clients:

1. A client at 28 weeks gestation who received a RhoGAM injection 72 hours after the delivery of her first child.
2. A G2P1 client at 28 weeks gestation who gave birth to an Rh-positive baby two years ago.
3. An Rh-negative client at 15 weeks gestation who develops bleeding after an amniocentesis.
4. An Rh-negative client at 12 weeks gestation who is admitted due to ectopic pregnancy.

  1. 1, 2
  2. 1, 2, 3
  3. 1, 3, 4
  4. 1, 2, 3, 4
  5. None of the clients
Explanation
Answer: D - The midwife administers RhoGAM to all four clients. RhoGAM prevents the Rh-negative mother from producing antibodies to Rh-positive fetal blood cells and threatening the survival of future Rh-positive neonates. RhoGAM must be administered to all pregnant clients between the 26th and 28th weeks of gestation as a prophylaxis and within 72 hours after delivery. Other clients who should receive a RhoGAM injection include clients with ectopic pregnancies, clients who develop bleeding due to routine tests and clients who have just had an abortion.
Previous Next
Was this helpful? Upvote!
Login to contribute your own answer or details
Start a Study Session Sign up for Question of the Day

Top questions

Related questions

Most popular on PracticeQuiz