RH Factor

Question 1

We are concerned about Rh compatability if pregnant person is Rh____ and fetus is Rh _____

Answer 1

Preggo-

Baby +

Question 2

First time we would give RhoGAM during a pregnancy? why?

Answer 2

28 weeks (IV or IM) if preggo is Rh negative –> prevent antibodies from forming against RH+ baby blood

Question 3

are we concerned if preggo and baby are both Rh -?

Answer 3

No! no need for RhoGAM

Question 4

If preggo is Rh - and fetus is Rh+ will it effect the current pregnancy?

Answer 4

‣ doesn’t effect 1st preg, but can attack fetus Rh+ blood in future pregnancies

Question 5

When is the second time we give RhoGAM during pregnancy?

Answer 5

given again within 72 hours after birth if mother is Rh- with a Rh+ baby (dependent on baby blood type–> if baby is Rh- = no RhoGAM after birth for the preggo)

Question 6

What is RhoGAM?

Answer 6

• RhoGAM stops the preggos immune system from making antibodies against baby’s Rh-positive blood

Question 7

Complications from Rh?

Answer 7

jaundice and anemia

Question 8

Special circumstance to admin RhoGAM?

Answer 8

• Given with procedure or trauma where baby’s blood is at risk of entering mom’s blood

Question 9

Post admin considerations for RhoGAM?

Answer 9

• Observe for 20 minutes after Admin to watch for allergic reaction
• can interfere with immune response to live vaccines
◦ if give RhoGAM no live vaccines for 3 months

Question 10

Rhogam does to mix with live _____

Answer 10

vaccines!

◦ if give RhoGAM no live vaccines for 3 months

Question 11

Test for detecting Rh Antibodies?

Answer 11

Coombs

Question 12

Direct vs indirect coombs test?

Answer 12

Indirect coombs test
• Detects Rh+ antibodies in the mother’s blood

Direct coombs test
• Measure the presence of maternal antibodies in the newborn’s blood

Question 13

If you do an indirect coombs test and see that preggo is Rh- and baby is Rh+ what do you do?

Answer 13

notify pediatrician