Review the postpartum record for an unsensitized Rh(D)-negative client. Which medication plan is best?
Chart/Exhibit
Choose your responses, then check the answer.
Explanation
An unsensitized Rh(D)-negative mother who delivers an Rh(D)-positive newborn needs postpartum Rh(D) immune globulin within 72 hours. Exposure above 15 mL of Rh(D)-positive fetal red cells requires additional dose calculation.
Quick answer Give postpartum prophylaxis to the mother and account for the measured fetal-cell exposure.
Why this is correct The antepartum dose does not replace postpartum prophylaxis after a new Rh(D)-positive exposure, and the product is not administered to the newborn for this indication.
Easy analogy or mental picture Use a family-centered medication-safety loop: verify age or pregnancy context, identify the exposure and new cue, prevent further harm, stabilize the client, and confirm the response.
Memory hook Population, indication, dose or route, contraindication, urgent cue, protective action, and reassessment.
NCLEX decision rule Choose the action that protects the maternal, newborn, or pediatric client from the most immediate medication-related harm while preserving authorized treatment.
Why the other choices are wrong Options that normalize a danger sign, substitute an unapproved route or dose, or delay reassessment leave the client exposed to preventable harm.
References
1DailyMed: RHOPHYLAC (Rh[D] immune globulin)Antepartum and postpartum prophylaxis, maternal administration, timing within 72 hours, and additional dose for excessive fetomaternal hemorrhage
Maternal, newborn, and pediatric medication safety reviewVerify the client's age or pregnancy stage, indication, weight or laboratory context, route, interacting therapies, contraindications, caregiver teaching, and measurable follow-up.