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 (A)</p> Signup and view all the answers

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

<p>Exchange transfusion (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Mother of Labour and Lactation (A)</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 (D)</p> Signup and view all the answers

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

<p>املخاض (C)</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 (A)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Daily (A)</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 (A)</p> Signup and view all the answers

When should the antitetanus vaccine be administered during pregnancy?

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

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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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