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What are the 7 rights of medication administration?
right patient
right drug
right dose
right time
right route
right reason
right documentation
T or F: Patients have the right to refuse medication
true
How often should pregnant woman take prenatal vitamins?
daily (ideally before conception)
Inadequate intake of folic acid (folate) is associated with what defect?
neural defects (anencephaly and spinal bifida)
What is folic acid (folate) given for?
to increase maternal RBC formation during pregnancy
Folic acid is a synthetic or natural form of which vitamin?
synthetic form of vitamin B
Folate is naturally found in which foods?
green leafy vegetables: spinach, brussel sprouts, broccoli, asparagus
whole wheat products, dried beans, citrus fruits (oranges), liver, lentils, beets, peas
What should the nurse assess if a pregnant patient has a deficiency of folic acid (folate)?
diet
What is the recommended dose of folic acid for pregnant women (and non pregnant woman) that
have NOT had an issue with a previous child having neural tube defects?
400 mcg (0.4 mg) daily
What is the recommended dose of folic acid for a pregnant woman that has had a previous child with
a neural tube defect?
4000 mcg (4 mg) daily
Folic acid works with ____ to make new cells.
, B12
RhoGAM (Rh0(D) Immune Globulin) is given ONLY to Rh ____________ mothers.
negative
What is the action of RhoGam (Rh0(D) Immune Globulin)?
surpasses the immune response to prevent the mother from making antibodies against Rh+ blood
What is Rh?
the protein that is found on RBCs
When considering giving RhoGam (Rh0(D) Immune Globulin), would the mother or the baby have Rh+
blood?
the baby
When is RhoGam (Rh0(D) Immune Globulin) routinely administered?
at 28 weeks gestation (as routine antepartum prevention) and within 72 hours after birth
When is an indirect coombs test drawn?
before 28 weeks gestation
What is an indirect coombs test?
a serum blood draw from the mother to see if there are antibodies
What is the desired result for an indirect coombs serum blood test?
negative (do not want to see antibodies)
If the baby is Rh-, will the mother need to receive RhoGam (Rh0(D) Immune Globulin) within 72 hours
after delivery?
no
What is a direct coombs test?
a test using a specimen from the cord blood that is determining is there are antibodies stacked on the
RBCs
If the baby is Rh __________ then mother will receive RhoGam (Rh0(D) Immune Globulin) again.
positive
RhoGam (Rh0(D) Immune Globulin) promotes the lysis of fetal Rh _________ blood cells before the
mother forms antibodies against them.
positive
What lab work needs to be done before giving RhoGam (Rh0(D) Immune Globulin)?