Please Read the Clinical Scenario, and Then Answer the Question

question 67

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Marian is a 28-year-old woman who is 30 weeks' pregnant with her second child. Her first pregnancy and delivery was uncomplicated, and she now has a healthy 2-year-old girl. However, it is known that she is Rh-, and this child could be at risk for hemolytic disease of the newborn. She did receive RhoGAM with her first pregnancy. She presents to your maternal-fetal medicine clinic for a checkup, as she is a medium-risk pregnant mom.
-What steps should you advocate to be taken by the doctor during this visit?

• A)nothing can be done about the Rh factor
• B)first dose of RhoGAM should be administered
• C)nothing,since it is not known if the first child was Rh+ yet
• D)plan for first dose of RhoGAM immediately after birth

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Definitions:

Terminal Cisternae

Enlarged areas of the sarcoplasmic reticulum around the muscular T-tubules that store calcium ions for muscle contraction.

T Tubule

T Tubules, or transverse tubules, are extensions of the cell membrane that penetrate into the center of skeletal and cardiac muscle cells, facilitating the rapid transmission of signals.

Triad

Two terminal cisternae and a T tubule between them.

Mitochondria

Organelles found in large numbers in most cells, where the biochemical processes of respiration and energy production occur.