The nurse is caring for a pregnant client who is Rh negative. A nursing student asks the nurse for more information about the Rh factor. Which is the correct response by the nurse?

  • “If the mother and father are both Rh-negative, the mother should be given RhoGAM in the 28th week.”
  • “If the mother is Rh-negative and the father is Rh-positive, the client should receive an injection of RhoGAM in the 28th week.”
  • “If the mother is Rh-negative and the father is Rh-positive, the client should receive an injection of RhoGAM in the 24th week.”
  • “If the mother is Rh-positive and the father is Rh-negative, the client should receive an injection of RhoGAM in the 24th week.”
Number 2 is correct.
RhoGAM is given in the 28th week if the mother is Rh-negative and the father is Rh-positive. If both mother and father are Rh-negative, the mother does not need RhoGAM, as her child will not be Rh-positive. Option 3 is incorrect because RhoGAM is given in the 28th week, not the 24th. Option 4 is incorrect because if the mother is Rh-positive and the father is Rh-negative, RhoGAM is not needed since the mother is already positive.