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"
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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