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drplummer drplummer
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6 years ago
The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section. The mother's blood type is Rh-negative, and the infant's blood type is Rh-positive.
 
  The provider has ordered human D immune globulin (RhoGAM). The nurse understands that this patient will need
  a. less than the usual RhoGAM dose.
  b. more than the usual RhoGAM dose.
  c. no RhoGAM.
  d. the usual RhoGAM dose.
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wrote...
6 years ago
ANS: B
For women with abruption, previa, caesarean births, or manual placental removal, more than 15 mL of fetal-maternal hemorrhage of Rh-positive red blood cells may have occurred, necessitating an increased dose of D immune globulin.
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