MEDizzy - A nurse is caring for a client who is Rh negative at 13

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Care of Childbearing Families

A nurse is caring for a client who is Rh negative at 13 weeks gestation. The client is having cramping and has moderate vaginal bleeding. Which physician order should the nurse question?

ExplanationObtaining the BHCG level is not indicated at this late stage in preg- nancy. BHCG levels are followed in early pregnancy before a fetal heart can be confirmed. RhoGAM® is indicated for any pregnant woman with bleeding who is Rh negative. An ultrasound can identify the cause of bleeding and confirm viability. A Doppler can be used to confirm a fetal heartbeat.