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A pregnant Rh- woman who is on her first pregnancy has an Rh+ baby. The nurse is correct when she tells the patient1 point"The risk is lower since this is your first pregnancy""We will need you to have a cesarean in order for things to go well""This pregnancy will be dangerous, the 2nd one will be safer""This information is not relevant to the pregnancy"

Question

A pregnant Rh- woman who is on her first pregnancy has an Rh+ baby. The nurse is correct when she tells the patient1 point"The risk is lower since this is your first pregnancy""We will need you to have a cesarean in order for things to go well""This pregnancy will be dangerous, the 2nd one will be safer""This information is not relevant to the pregnancy"

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Solution

"The risk is lower since this is your first pregnancy"

This is the correct statement. During the first pregnancy, the Rh- mother is exposed to the Rh+ blood of the baby at delivery. This can cause the mother to produce antibodies against Rh+ blood. However, these antibodies typically do not cause a problem during the first pregnancy because they are not produced until late in pregnancy or after delivery. The risk is higher in subsequent pregnancies if the baby is Rh+, as the mother's antibodies can cross the placenta and attack the baby's red blood cells. This can lead to hemolytic disease of the newborn. To prevent this, Rh- mothers are typically given an injection of Rh immunoglobulin (RhIg) around the 28th week of pregnancy and again within 72 hours after delivery if the baby is Rh+. This prevents the mother from producing Rh antibodies.

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