ADDITIONAL MATERNAL RLE Flashcards
Rh (Rhesus) factor was discovered by who and when.
Discovered in 1940
by K. Landstenier and A.S. Wiener
transmembrane proteins expressed at the surface of
erythrocytes
Rh Antigen can be inherited genetically known as
Haplotype
Rh Antigen Frequency
D antigen:
85%
Rh Antigen Frequency
d antigen
15%
Rh Antigen Frequency
E antigen –
30%
Rh Antigen Frequency C antigen
70%
Rh Antigen Frequency c antigen
80%
Rh Antigen Frequency e antigen
98%
The presence or absence of _____ determines if the person is Rh+ or Rh-
D Antigen
antigen is immunogenic/ capable of producing an immune response
D antigen
Causes production of severe HDN and utero death
D antigen
blood given to a patient with a blood type that is incompatible with the blood type can cause
intravenous clumping
the baby with ____ is more likely to be affected with rh sensitization
Rh+
pregnancy that happens outside of the uterus.
Ectopic pregnancy
build up of increased amniotic fluid
Polyhydramnios
refer to the accumulation of excessive fluid in the pericardium.
pericardial effusion
flow cytometry
Kleihauer-betke test
can show enlarged organs or fluid buildup in the body
Maternal Blood
Ultrasound
baby’s organs aren’t able to handle the anemia
Hydrops fetalis
Management Options for fetal anemia.
Intrauterine blood transfusion (IUT
preventative vaccine involves introducing antigens into a person’s body.
Phrophylactic Vaccination
deliver light via a quartz halogen bulb
MICRO WHITE HALOGEN LIGHTS
replacing the infant’s damaged RBCs with healthy donated cells.
Exchange Transfusion
Detecting antibodies attached to RBCs.
Coombs Test
Assessing the newborn’s blood for damage and hemolysis.
Cord Blood Tests
This uses a halogen bulb directed into a fiberoptic
mat. There is a filter that removes the ultraviolet and
infrared components
OHMEDA BILIBLANKET
deliver light via a quartz halogen bulb and
have a tendency to become quite hot so should not
be positioned closer to the infant than the
manufacturers recommendations of 52cm.
MEDELA BILIBED BLUE
FLUORESCENT LIGHT
TYPES OF PHOTOTHERAPY
Single surface unit
double surface unit
triple surface unit
When to stop phototherapy? TERMBABIES
Day 3: Stop at as the
jaundice is likely to be pathological.
Day 4: Stop
phototherapy when the SBR is 280
mmol/L for term infants with physiological jaundice
When to stop phototherapy? Premature babies
Eye pads are required for the infants comfort if
overhead white or blue fluorescent lights are used
Eye pads should be removed ____and eye cares attended
with normal saline
4 hourly
Line between green and yellow is
Alert Line
Line between yellow and red/pink is
Action Line
PROGRESS OF LABOR IS NORMAL IF PLOTTING STAYS
S ON OR TO THE LEFT
OF THE ALERT LINE (GREEN PART)
PROGRESS OF LABOR PASSES THE ALERT LINE (YELLOW PART) MORE SO IF IT REACHES THE
ACTION LINE (RED PART) INDICATION IS
ABNORMAL
Observe vital signs and umbilical vessel
complications.
Post-transfusion monitoring
CEmONC
Comprehensive
Emergency Obstetric and New born Care
TO NOTE AND RECORD DURING IE : C
clear
TO NOTE AND RECORD DURING IE : “M”
meconium stained
TO NOTE AND RECORD DURING IE : A”
absent
TO NOTE AND RECORD DURING IE : “B”
bloody
Plot only the CERVICAL DILATION using the symbol
“X”
Start RECORD THE FINDINGS IN THE PARTOGRAPH when woman is in
ACTIVE LABOR (4 cm or more)
contracting adequetly (3-4 contractions in 10 minutes)
If women is admitted in _____ of labor record only other findings (BP, FHT)
LATENT PHASE
If she remains in latent phase for the next ____(labor is
prolonged) transfer her to the hospital
8 hours
Monitoring during Progress of Labor
- Cervical dilation
- Contraction pattern
Monitoring during Fetal well being
- Fetal heart rate and pattern
- Color of amiotic fluid
Monitoring during Maternal well being
Pulse, temperature, blood pressure
- Urine voided
