2024 PN NCLEX Questions Nursing Practice Question
A hepatitis B screen is performed on a pregnant client, and the results indicate the presence of antigens in the client's blood. On the basis of this finding, the nurse makes which determination?
Correct Answer: A
Rationale: The presence of antigens in the blood indicates that the pregnant client is infected with hepatitis B, necessitating immediate action to protect the newborn. Administering hepatitis immune globulin and the hepatitis B vaccine to the infant shortly after birth is a critical preventive measure to reduce the risk of transmission.
Option B is incorrect as it suggests negative results, which contradicts the finding of antigens. Option C misinterprets the results, as the presence of antigens confirms an active infection. Option D is also incorrect; while vaccination is important, the mother is already infected, so her vaccination status is not the immediate concern for the newborn's protection.