The nurse receives the following report on a client 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 should be to determine if the client has received RhoGAM, as she is A-negative and gave birth to a B-positive infant. The nurse needs to confirm that the client has received RhoGAM to prevent potential complications related to Rh incompatibility in future pregnancies. Administering the rubella vaccine or discussing discharge education can wait until after this information has been obtained. Asking about the client's feeding choice is important, but it is not the priority in this situation.

The Nurse Receives the Following Report on a Client Who