We had a question on our exam about the administration of RhoGAM to a Rh negative mother. The doctor ordered RhoGAM to be given. Before giving the shot, what would the nurse do?
This was all the information given in the scenario. I chose the answer stating for the nurse to verify that Coombs' Test was negative. The correct answer, according to the instructor, is for the nurse to verify that the newborn is Rh positive. According to her, for this case, it did not matter whether the Coombs' Test is negative or not.
My question is, would the nurse administer RhoGAM if the Coombs' Test were positive? No, right? The textbook does not go into detail about the Coombs' test, but it does state in the nursing considerations, that before adminstration of the drug, nurse must verify that mother is Rh negative, that the Coombs' Test is negative and that the baby is Rh positive. In that order!
I sent an email to the instructor asking for her to review the question and told her that I agree with the answer but that the Coombs' test answer is also correct. Sigh.
Thanks for listening.