Which action is NOT part of Jenny Smith's Scenario Action #1?

Which action is NOT part of Jenny Smith's Scenario Action #1?

• A. Monitor B-human chorionic gonadotropin (hCG) levels.
• B. Educate the client regarding a transvaginal ultrasound.
• C. Assist with a speculum examination of the client's cervix.
• D. Administer Rh immune globulin intramuscularly.

Answer: (D)

Action #1 centers on the initial assessment and preparation during an early pregnancy evaluation. Monitoring B-hCG levels fits this stage because it helps confirm pregnancy and track its viability. Explaining what to expect with a transvaginal ultrasound is part of educating the patient and planning the diagnostic process. Assisting with a speculum examination is a hands-on part of the pelvic assessment to inspect the cervix and identify any sources of bleeding or infection, guiding subsequent steps. Administering Rh immune globulin intramuscularly does not belong to this first action. Rh immune globulin is given only when there’s an indication based on Rh status and events that could cause fetal red blood cell exposure, and it would be addressed in a later step after those factors are assessed.

Action #1 centers on the initial assessment and preparation during an early pregnancy evaluation. Monitoring B-hCG levels fits this stage because it helps confirm pregnancy and track its viability. Explaining what to expect with a transvaginal ultrasound is part of educating the patient and planning the diagnostic process. Assisting with a speculum examination is a hands-on part of the pelvic assessment to inspect the cervix and identify any sources of bleeding or infection, guiding subsequent steps.

Administering Rh immune globulin intramuscularly does not belong to this first action. Rh immune globulin is given only when there’s an indication based on Rh status and events that could cause fetal red blood cell exposure, and it would be addressed in a later step after those factors are assessed.