RH Isoimmunization in Maternal Circulation Quiz
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Questions and Answers

What is the main cause of RH isoimmunization in maternal circulation?

  • Silent transfusion of fetal RBC to maternal circulation (correct)
  • Administration of RH antibodies
  • Plasmapheresis
  • Bone marrow transplantation
  • How can RH isoimmunization be prevented in pregnancy?

  • Give bone marrow transplantation
  • Administration of RH antibodies (anti D) (correct)
  • Plasmapheresis
  • Administration of gastric acid-resistant capsule
  • What type of examination is used to detect signs of fetal hydrops and anemia?

  • Serial ultrasound and Doppler examinations (correct)
  • Electrocardiogram (ECG)
  • Blood test analysis
  • X-ray imaging
  • When should intrauterine blood transfusion typically be considered?

    <p>Around 36 weeks gestation</p> Signup and view all the answers

    What is recommended for postnatal treatment if a neonate has moderate or severe disease?

    <p>Exchange transfusion</p> Signup and view all the answers

    What is the main purpose of antenatal care?

    <p>To provide physical and mental health support for both fetus and mother</p> Signup and view all the answers

    What is the most likely purpose of the 'Mother of Labour and Lactation Lab'?

    <p>To study the physiological processes of childbirth and breastfeeding</p> Signup and view all the answers

    What is the meaning of the Arabic phrase 'أم املخاض والرضاعة'?

    <p>Mother of Labour and Lactation</p> Signup and view all the answers

    Which of the following is likely to be studied in the 'Mother of Labour and Lactation Lab'?

    <p>All of the above</p> Signup and view all the answers

    Which word in the name 'أم املخاض والرضاعة' refers to the process of childbirth?

    <p>املخاض</p> Signup and view all the answers

    Based on the name, what type of research is unlikely to be conducted in the 'Mother of Labour and Lactation Lab'?

    <p>Research on fertility treatments and assisted reproductive technologies</p> Signup and view all the answers

    Which of the following is NOT included in the general physical exam mentioned in the text?

    <p>Measuring the patient's vital signs</p> Signup and view all the answers

    Which of the following is a key purpose of proper nutrition during pregnancy?

    <p>To assist in the growth and development of the fetus</p> Signup and view all the answers

    What is the recommended frequency of bathing during pregnancy according to the text?

    <p>Daily</p> Signup and view all the answers

    Which of the following is NOT mentioned in the text as an aspect of physical exercise during pregnancy?

    <p>Improving overall cardiovascular health</p> Signup and view all the answers

    When should the antitetanus vaccine be administered during pregnancy?

    <p>At the end of the 4th month</p> Signup and view all the answers

    What type of special care for the skin is mentioned in the text?

    <p>Special care with the skin</p> Signup and view all the answers

    Study Notes

    General Physical Examination

    • General physical examination is essential for pregnant women
    • Tests include:
      • Hb (hemoglobin)
      • Blood group
      • Rh (Rhesus) factor

    Special Assessment Chart

    • Create a special assessment chart for pregnant women

    Advices and Instructions

    • Relaxation: free from pain, worry, and physical and mental health
    • Nutrition: contain whole elements for fetus growth and development, provide good mother health, and strength for labor
    • Cleaning: daily bath with soap and warm water, care of genital area and urethral orifice
    • Special care with skin, especially in chest and abdominal area
    • Physical exercise: stimulate circulation and strength of abdominal muscles and pelvis
    • Breast care: massage for nipple and areolae
    • Vaccines: antitoxin (antitetanus) at the end of 4th and 5th months, RH isoimmunization for RH- mothers

    RH Isoimmunization

    • Causes of RH isoimmunization:
      • Silent transfusion of fetal RBC to maternal circulation (35%)
      • Abortion
      • Ectopic pregnancy
      • Antipartum hemorrhage
      • Postpartum hemorrhage
    • Prevention:
      • Administration of RH abs (anti-D) within 72 hours of delivery
      • Give 0+ gastric acid-resistant capsule
      • Bone marrow transplantation
      • Plasmapheresis
      • Decrease the risk of blood transfer between baby and mother during delivery

    Treatment and Nursing Care

    • Antenatal care:
      • Serial ultrasound and Doppler examinations to detect signs of fetal hydrops
      • Monitor blood flow velocities and anemia
    • Treatment:
      • Intrauterine blood transfusion (after 36 weeks of gestation)
      • Early delivery (usually after 36 weeks)
      • Postnatal care:
        • Phototherapy for neonatal jaundice in mild disease
        • Exchange transfusion if the neonate has moderate or severe disease

    Ante Natal Care

    • Purposes:
      • Maintain good health for fetus and mother
      • Provide physical and mental health
      • Prepare mother for labor and lactation

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    Description

    Test your knowledge on RH isoimmunization in maternal circulation, specifically on the presence of RH+ antibodies in RH- maternal circulation. Learn about the causes including silent transfusion of fetal RBC to maternal circulation, and prevention methods such as administration of RH antibodies within 72 hours.

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