17 Questions
What is the main cause of RH isoimmunization in maternal circulation?
Silent transfusion of fetal RBC to maternal circulation
How can RH isoimmunization be prevented in pregnancy?
Administration of RH antibodies (anti D)
What type of examination is used to detect signs of fetal hydrops and anemia?
Serial ultrasound and Doppler examinations
When should intrauterine blood transfusion typically be considered?
Around 36 weeks gestation
What is recommended for postnatal treatment if a neonate has moderate or severe disease?
Exchange transfusion
What is the main purpose of antenatal care?
To provide physical and mental health support for both fetus and mother
What is the most likely purpose of the 'Mother of Labour and Lactation Lab'?
To study the physiological processes of childbirth and breastfeeding
What is the meaning of the Arabic phrase 'أم املخاض والرضاعة'?
Mother of Labour and Lactation
Which of the following is likely to be studied in the 'Mother of Labour and Lactation Lab'?
All of the above
Which word in the name 'أم املخاض والرضاعة' refers to the process of childbirth?
املخاض
Based on the name, what type of research is unlikely to be conducted in the 'Mother of Labour and Lactation Lab'?
Research on fertility treatments and assisted reproductive technologies
Which of the following is NOT included in the general physical exam mentioned in the text?
Measuring the patient's vital signs
Which of the following is a key purpose of proper nutrition during pregnancy?
To assist in the growth and development of the fetus
What is the recommended frequency of bathing during pregnancy according to the text?
Daily
Which of the following is NOT mentioned in the text as an aspect of physical exercise during pregnancy?
Improving overall cardiovascular health
When should the antitetanus vaccine be administered during pregnancy?
At the end of the 4th month
What type of special care for the skin is mentioned in the text?
Special care with the skin
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
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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