The nurse receives the following report on a patient who delivered 36 hours ago: para 1, rubella-immune, A-negative, antibody screen negative, newborn B-positive, Coombs' negative, discharge orders are written for both mother and newborn. What should be the priority action by the nurse?

Question

Quizplus · Accepted Answer

The priority action for the nurse is to determine whether RhoGAM has been given. The mother is A-negative and the newborn is B-positive, meaning there is a chance the mother has been sensitized to Rh positive blood. Administration of RhoGAM is necessary to prevent sensitization and future complications in future pregnancies. Therefore, confirming whether RhoGAM has been given is essential before the patient is discharged. The other options are also important but not as high of a priority as determining whether RhoGAM has been given.

The Nurse Receives the Following Report on a Patient Who