HESI RN Nursing Specialty

HESI RN Nursing Specialty ( 78 Questions)

A client with blood type AB negative delivers a newborn with blood type A positive. The cord blood reveals a positive indirect Coombs' test. What is the implication of this finding?



Correct Answer: C

A positive indirect Coombs' test indicates that the mother has developed Rh antibodies against the baby's Rh-positive blood. This finding can result in hemolytic disease of the newborn, which is a condition in which the mother's Rh antibodies atack the baby's red blood cells, causing destruction and potential anemia.

The baby may require phototherapy for physiologic jaundice, but the Coombs' test result indicates a different issue.

The presence of an infectious blood-borne disease cannot be determined from this test.

The mother may still need Rho (D) immune globulin injections after delivery of an Rh-positive baby.




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