2024 PN NCLEX Questions Nursing Practice Question
An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?
Correct Answer: A
Rationale: In this scenario, providing emotional support to the family is crucial as they may experience guilt or anxiety regarding the infant's condition, especially after a sensitization event. This support fosters a positive environment for coping and healing.
Option B is incorrect because MICRhoGam is not administered to the mother after delivery; it is given during pregnancy to prevent sensitization. Option C is also wrong; Rh-immune globulin is administered to the mother, not the newborn, to prevent future sensitization. Option D, while relevant for assessing hemolytic disease, does not directly address immediate nursing care needs post-delivery, making it less pertinent than emotional support.