Practice Quiz

CNM Certified Nurse Midwife

Category - Antepartum

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A nurse midwife is managing the care of four female 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
Explanation
Answer: D - The nurse midwife administers RhoGAM to all four female 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 women with ectopic pregnancies, women who develop bleeding due to routine tests and women who have just had an abortion.
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