Cheatography
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Obstetrics Rotation. Second Year Second Semester notes from the lecture on onstetric nursing in San Pedro College of Davao City.
This is a draft cheat sheet. It is a work in progress and is not finished yet.
RH Incompatibility
affects 15% all pregnancies |
Rh - mom and Rh + dad |
second pregnancy |
due to placenta previa, placenta abruptio |
Definition
Rh incompatibility |
rh - mom and Rh + dad |
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counseling; blood grouping; match blood; Rhogam |
Rh Sensitization |
mom autoimmunity destroy Rh- baby's RBC |
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measure antibody; ultrasound; refer; amniocentesis of biliriubin |
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Pathophysiology
mom & baby blood mix > mom antibodies form > antibodies attack RBC of baby |
Hydrops Fetalis
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organs filled with fluid |
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increase bilirubin |
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major ABO incompatibility |
Assessment |
thick placenta; edema; increase amniotic fluid at lungs, heart, abdomen |
Diagnostic Test
Mom |
CBC, blood type, Kleinhauer-Betke test, indirect Coomb's test |
Baby |
CBC, Direct Coomb's test, bilirubin test |
management
Intrauterine Fetal Blood Transfusion |
replaces RBC |
Phototherapy |
treat jaundice, prevent hyperbilirubinemia |
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uses 425-475 nm wavelength (460-490;bluegreen) |
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treats skin jaundice |
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cover eyes, genitals, change position every 2 hours, VS, breastfeed |
Rhogam |
IgG D; IM; 72h after birth; 28w AOG; 300mcg/15ml RBC Rh- |
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after delivery |
Monitor |
contraction, FHT, blood test, Rhogam |
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