Test Bank For Olds Maternal-Newborn Nursing & Womens Health Across the Lifespan, 12th Edition (Davidson), Chapter 1-36 | Latest 2024

Test Bank For Olds' Maternal-Newborn Nursing & Women's Health Across the Lifespan, 12th Edition (Davidson), Chapter 1-36 Rationale 3: A direct Coombs' test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and that the baby is making anti- Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia. Rationale 4: This patient's blood type creates no problems. Question 25 A patient is concerned because she has been told her blood type and her baby's are incompatible. The best response by the nurse would be: 1. "This is called ABO incompatibility, and if the baby becomes jaundiced, she can be treated with a special light treatment." 2. "This is a serious condition, and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy." 3. "This is a condition caused by a blood incompatibility between you and your husband, but does not affect the baby." 4. "This type of condition is very common, and the baby can receive a medication to prevent jaundice from occurring." Correct Answer: 1 Rationale 1: When blood types, not Rh, are incompatible, it is called ABO incompatibility. The mother has a blood type that has antibodies against the newborn blood cells and causes these cells to break down. Rationale 2: Although this can be serious, additional blood studies are not typically done. There is no medication that can be given to the mother to prevent this from occurring. Rationale 3: The incompatibility is not between the mother's and father's blood but between the mother's and the infant's blood.