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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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ljy5723 ljy5723
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6 years ago
The laboratory results for a postpartum woman are as follows: blood type, A; Rh status, positive; rubella titer, 1:8 (EIA 0.8); hematocrit, 30. How would the nurse best interpret these data?
 
  a. Rubella vaccine should be given.
  b. A blood transfusion is necessary.
  c. Rh immune globulin is necessary within 72 hours of birth.
  d. A Kleihauer-Betke test should be performed.
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#1
6 years ago
ANS: A
This client's rubella titer indicates that she is not immune and that she needs to receive a vaccine. These data do not indicate that the client needs a blood transfusion. Rh immune globulin is indicated only if the client has a negative Rh status and the infant has a positive Rh status. A Kleihauer-Betke test should be performed if a large fetomaternal transfusion is suspected, especially if the mother is Rh negative. The data do not provide any indication for performing this test.
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