Exam 1 - Rh Incompatibility

Question 1

foreign substances that invade the body

Answer 1

Antigens

Question 2

made by your body to identify a specific antigen

Answer 2

Antibodies

Question 3

antibodies made rapidly during primary immune response

Answer 3

IgM

Question 4

antibodies made for immune “memory” and secondary immune response

Answer 4

IgG

Question 5

Rh

Answer 5

protein found on blood cells, naturally occurring in some people

Question 6

What women are at risk for Rh incompatibility?

Answer 6

Only women who are Rh-

Question 7

Why are women at risk for Rh incompatibility?

Answer 7

An Rh- woman will make anti-D antibodies if their baby is Rh+; will use those antibodies in next pregnancy, which can cross the placenta

Question 8

T/F: The first baby is safe from antibodies made by mom.

Answer 8

True.

Question 9

SAB means what?

Answer 9

Spontaneous abortion

Question 10

TAB means what?

Answer 10

therapeutic abortion - chosen / elective

Question 11

placenta coming away from the uterus is called what?

Answer 11

placental abruption

Question 12

non-descript bleeding that does not endanger the pregnancy is called what?

Answer 12

Antepartum bleeding

Question 13

What are the main risk factors for developing Anti-D Antibodies?

Answer 13

Blood transfusion
Needles
Abdominal trauma
Abortion
Placental abruption
Antepartum bleeding
Normal birth

Question 14

Hemolytic disease of the newborn (HDoN) means what?

Answer 14

Hemolysis of RBCs of the baby

Question 15

Name the 4 complications of HDoN

Answer 15

(1) intrauterine fetal demise (IFD)
(2) Cardiac abnormalities
(3) Hydrops fetalis
(4) Newborn on-physiologic jaundice

Question 16

Cardiac failure and subsequent fluid buildup in tissue is called what?

Answer 16

Hydrops fetalis

Question 17

What is a serious consequence of kernicterus?

Answer 17

Brain development consequences / issues

Question 18

If a woman is Rh-, what medication is she given?

Answer 18

Rhogam

Question 19

What is the screening test called for pregnant women?

Answer 19

Indirect Coombs-Test

Question 20

How is Rhogam delivered?

Answer 20

IM Injection

Question 21

When do women receive Rhogam if they are Rh- and why?

Answer 21

28 weeks; placenta is well-developed; fetal blood supply is bigger

Question 22

If there is trauma or suspected fetomaternal hemorrhage, what do we do?

Answer 22

Re-dose Rhogam and make sure there is enough protection

Question 23

What is the nursing role in Rh incompatibility?

Answer 23

(1) Education re: Rh factor and isoimmunization
(2) Anticipate administrating Rhogam
(3) collect and send umbilical cord blood to lab
(4) manage neonates in NICU for complications of Rh incompatibility

Question 24

Which newborns are screened for blood type and Rh factor?

Answer 24

All