Inquire through: | Professional | Confidential Support
W&F Quiz 2 (Exam 1) Verified and Updated
Questions and Answers (100% Correct
Answers)
High Risk Pregnancy=Risk Factors
Answer: · Maternal Age- AMA or adolescence
· Maternal Parity, Grandmulitpara
· Maternal OB/GYN History
· Medical History
Lifestyle- substance abuse, OTC's, drugs, smoking; exposure t
Maternal OB/GYN History
Answer: o SAB =spontaneous abortion/miscarriage --> 2 or more of these makes you
high risk
o Term still birth
o Incompetent uterus
o Pelvic shape --> some better than others
o Hx of GDM
o Hx of PIH (pregnancy-induced HTN)
o Family History
o Cultural Background: genetic disorders; religious practices
Risk Factor-Family History
Answer: -hx of multiples, congenital diseases
-Father's exposure to environmental hazards
,Inquire through: | Professional | Confidential Support
-family environment - social, financial, housing
Congenital
Answer: born with it
IgM
Answer: -big antibodies that don't cross the placenta
-weak response molecule
-With repeat exposures, you'll get other immune cells that are stronger than IgM
If Rh- person exposed to Rh+ blood
Answer: · Antibody-antigen response = sensitized
· Develops IgM antibodies
Rh- mother, Rh+ fetus
Answer: Small amounts of fetal blood cross placenta
Maternal IgG antibodies produced
-Hemolysis of fetal red blood cells
-Rapid production of erythroblasts (compensating mechanism)
-Hyperbilirubinemia
Clinical therapy for Rh Uncertainty-When to act
Answer: Administer Rh immunoglobulin "Rhogam"
· Prophylactically at 28 weeks to non-sensitized, Rh- woman, works like a vaccine
· When pregnancy ends: spontaneous/induced abortion or ectopic pregnancy
· After invasive procedures or after maternal trauma (Kleihauer-Betke test)
· After birth of an Rh+ infant
· Before Rhogam babies would be pale, edemic, "like Pillsbury dough boy"
,Inquire through: | Professional | Confidential Support
Reese's starts to show
Answer: ~8 weeks' gestation --> we don't give it now though because we want to wait
until later so it's still effective (like why you don't get a flu shot in June), don't want
to give it too many times b/c it's a blood product
We don't know the baby's blood type until
Answer: after delivery
Postpartum Management of Rh Incompatibility
Answer: Goals
1. Prevent sensitization in Rh- mother with Rh+ fetus
a. 300 mcg Rh immune globulin intramuscularly (IM) within 72 hours of delivery
b. Not given to newborn, father, or previously sensitized woman
2. Treat isoimmune disease in newborn
When fetal RBCs hemolyze what happens to blood viscosity?
Answer: Blood gets thinner/less viscose --> decrease in viscosity leads to increase in
velocity of blood
--> We look at blood viscosity to measure this
Coomb's Test also called
Answer: Also called "DAT" or "Coombs," "Baby is coombs negative"
Direct Coombs (Direct Antiglobulin Test or DAT)
Answer: detects antibodies bound to the surface of red blood cells --> done on
babies
When RBCs break down in a newborn they'll get
Answer: jaundiced
ABO Incompatibility: Mother type =
Answer: O, baby = A or B
Maternal serum antibodies cross
Answer: placenta
, Inquire through: | Professional | Confidential Support
· Hemolysis of fetal red blood cells
· Mild anemia
· Hyperbilirubinemia (jaundice)
ABO incompatibility not treated antenatally/antepartally(/in pregnancy) b/c
Answer: it's not as big of a deal as the Rh factor
-We'll see some mild anemia, only treat if you see sx in the baby
Herpes Simplex Virus (HSV)
Answer: recurrent, lifelong infection
HSV transmitted
Answer: Vaginal, anal, or oral sex; Skin-to-skin contact with an infected site
- Type 1: "above the waist,"
- Type 2: "below the waist"
Pretty localized for adults but can be spread throughout in babies
HSV Symptoms
Answer: - Single or multiple, painful blister-like vesicles
- Enlargement of inguinal lymph nodes
- Flu-like symptoms, genital pruritus, tingling
HSV often mistaken for
Answer: Yeast Infection
UTI
Vaginitis
Hemorrhoids
Irritation from Sex
W&F Quiz 2 (Exam 1) Verified and Updated
Questions and Answers (100% Correct
Answers)
High Risk Pregnancy=Risk Factors
Answer: · Maternal Age- AMA or adolescence
· Maternal Parity, Grandmulitpara
· Maternal OB/GYN History
· Medical History
Lifestyle- substance abuse, OTC's, drugs, smoking; exposure t
Maternal OB/GYN History
Answer: o SAB =spontaneous abortion/miscarriage --> 2 or more of these makes you
high risk
o Term still birth
o Incompetent uterus
o Pelvic shape --> some better than others
o Hx of GDM
o Hx of PIH (pregnancy-induced HTN)
o Family History
o Cultural Background: genetic disorders; religious practices
Risk Factor-Family History
Answer: -hx of multiples, congenital diseases
-Father's exposure to environmental hazards
,Inquire through: | Professional | Confidential Support
-family environment - social, financial, housing
Congenital
Answer: born with it
IgM
Answer: -big antibodies that don't cross the placenta
-weak response molecule
-With repeat exposures, you'll get other immune cells that are stronger than IgM
If Rh- person exposed to Rh+ blood
Answer: · Antibody-antigen response = sensitized
· Develops IgM antibodies
Rh- mother, Rh+ fetus
Answer: Small amounts of fetal blood cross placenta
Maternal IgG antibodies produced
-Hemolysis of fetal red blood cells
-Rapid production of erythroblasts (compensating mechanism)
-Hyperbilirubinemia
Clinical therapy for Rh Uncertainty-When to act
Answer: Administer Rh immunoglobulin "Rhogam"
· Prophylactically at 28 weeks to non-sensitized, Rh- woman, works like a vaccine
· When pregnancy ends: spontaneous/induced abortion or ectopic pregnancy
· After invasive procedures or after maternal trauma (Kleihauer-Betke test)
· After birth of an Rh+ infant
· Before Rhogam babies would be pale, edemic, "like Pillsbury dough boy"
,Inquire through: | Professional | Confidential Support
Reese's starts to show
Answer: ~8 weeks' gestation --> we don't give it now though because we want to wait
until later so it's still effective (like why you don't get a flu shot in June), don't want
to give it too many times b/c it's a blood product
We don't know the baby's blood type until
Answer: after delivery
Postpartum Management of Rh Incompatibility
Answer: Goals
1. Prevent sensitization in Rh- mother with Rh+ fetus
a. 300 mcg Rh immune globulin intramuscularly (IM) within 72 hours of delivery
b. Not given to newborn, father, or previously sensitized woman
2. Treat isoimmune disease in newborn
When fetal RBCs hemolyze what happens to blood viscosity?
Answer: Blood gets thinner/less viscose --> decrease in viscosity leads to increase in
velocity of blood
--> We look at blood viscosity to measure this
Coomb's Test also called
Answer: Also called "DAT" or "Coombs," "Baby is coombs negative"
Direct Coombs (Direct Antiglobulin Test or DAT)
Answer: detects antibodies bound to the surface of red blood cells --> done on
babies
When RBCs break down in a newborn they'll get
Answer: jaundiced
ABO Incompatibility: Mother type =
Answer: O, baby = A or B
Maternal serum antibodies cross
Answer: placenta
, Inquire through: | Professional | Confidential Support
· Hemolysis of fetal red blood cells
· Mild anemia
· Hyperbilirubinemia (jaundice)
ABO incompatibility not treated antenatally/antepartally(/in pregnancy) b/c
Answer: it's not as big of a deal as the Rh factor
-We'll see some mild anemia, only treat if you see sx in the baby
Herpes Simplex Virus (HSV)
Answer: recurrent, lifelong infection
HSV transmitted
Answer: Vaginal, anal, or oral sex; Skin-to-skin contact with an infected site
- Type 1: "above the waist,"
- Type 2: "below the waist"
Pretty localized for adults but can be spread throughout in babies
HSV Symptoms
Answer: - Single or multiple, painful blister-like vesicles
- Enlargement of inguinal lymph nodes
- Flu-like symptoms, genital pruritus, tingling
HSV often mistaken for
Answer: Yeast Infection
UTI
Vaginitis
Hemorrhoids
Irritation from Sex
