A woman is pregnant with her second child. She is Rh+ and the father is Rh-....

A woman is pregnant with her second child. She is Rh+ and the father is Rh-. With respect to the Rh factor, what is the risk, if any, to this present fetus and/or the mother?

Solutions

Expert Solution

As the mother is Rh positive and the father is Rh negative, the child has two possibilities:- Rh positive or Rh negative.

Rh positive had the D antigen while Rh negative has anti-D antibodies. If first foetus has Rh negative blood, there will be some mixing of blood during the parturition as usual. But mother has Rh positive blood. She has no antibodies also. And foetus also doesn't have antigens. Therefore no risk will be there for the second child or to the mother

If first foetus was Rh positive, it has Antigens but mother is also having the antigens. Therefore, no immune response will be generated. No risk for the mother and daughter the second child.

In both the above cases, there will be no risk to both mother and Foetus.

If the mother was Rh negative and the foetus born was Rh positive, the cells will diffuse into the mother's blood. Mother immune system will see it as foreign material and gets sensitized and produce antibodies. When the second child born is Rh positive, the antibodies from maternal blood will leak into the foetal blood and cause hemolysis of RBCs. This is called erythroblastosis foetalis. Here only, risk is present to the fetus.

Sydney Mullin answered 1 year ago

Next > < Previous

Related Solutions

1. A woman is pregnant for the second time. She has Rh negative blood type but...

1. A woman is pregnant for the second time. She has Rh negative blood type but did not receive the RhoGAM shot with her first pregnancy. The baby is born with the following symptoms: enlarged liver and spleen and difficulty breathing. What type of hypersensitivity reaction is this? What is the name of the disease the newborn is experiencing? Can you determine the Rh blood type of the first baby? the second baby? If so,identify the Rh type? 2. A...

A woman claimed that a certain man was the father of her child. When the case...

A woman claimed that a certain man was the father of her child. When the case was brought to court, it was pointed out that the woman had blood type O, the child had blood type A, and the man had blood type O. Could he have been the father? What blood types could the biological father have had?

A pregnant woman has come to you for counseling. She is in her late forties and this...

A pregnant woman has come to you for counseling. She is in her late forties and this is her first pregnancy. She has had a difficult pregnancy and is very worried about having a miscarriage. She has come to you to determine whether her child will be born with Down Syndrome. a. Explain what test or tests you would suggest that could answer her question, b. Explain to her why you would recommend this test. c. What results would you expect...

A woman who is gravida 2, para 2, is Rh negative and her partner is Rh...

A woman who is gravida 2, para 2, is Rh negative and her partner is Rh positive. Her first child was Rh negative. She has just given birth to an Rh positive infant. Her indirect Coombs test is positive. Her infant’s direct Coombs test is also positive. Is she a candidate for RhoGAM? Explain.

Dee is 36 weeks pregnant with her first child. She has come to the L&D unit...

Dee is 36 weeks pregnant with her first child. She has come to the L&D unit to be assessed. She complains of bilateral lower pelvic pressure and occasional tightening and relaxing of her abdomen. Her EFM strip reveals a baseline fetal HR of 130 with moderate variability, accelerations 15 beats by 15 beats, and no decelerations. There is only one contraction observed on the monitor in 30 minutes, which was palpated as mild by the RN. The patient denies leaking...

Client History: Female pregnant with her second child. Height: 62 ½” Prepregnancy weight: 127 lbs Client...

Client History: Female pregnant with her second child. Height: 62 ½” Prepregnancy weight: 127 lbs Client History: Female pregnant with her second child. Height: 62 ½” Prepregnancy weight: 127 lbs At 8 weeks pregnant weighed 131 lbs – Weight gain/loss? __4_____ At 12 weeks pregnant weighed 130 lbs – Weight gain/loss?___3____ At 22 weeks pregnant weighed 141 lbs – Weight gain/loss?___14____ At 26 weeks pregnant weighed 146 lbs – Weight gain/loss?___19___ At 30 weeks pregnant weighed 153 lbs – Weight...

What changes might a pregnant woman make to her diet? What things might she avoid? What...

What changes might a pregnant woman make to her diet? What things might she avoid? What things might she increase or decrease? Why? What Nutrients are vital to a newborn? Have you ever known anyone while they were pregnant? Did they follow these dietary habits during their pregnancy/ What Nutrients are most important for a growing child? Why? What did you eat growing up? Is the food you buy from your local street vendor or restaurant 'safe?' What do you...

A woman in the second trimester of pregnacy tells her physcian thay she has been urinating...

A woman in the second trimester of pregnacy tells her physcian thay she has been urinating excessively for the past week. In addition, she has been extremely thirsty. The next day the physcian does a fasting blood glucose test and finds her glucose level to be 150 mg/dl (normal should be below 100 mg/dl). The physcian makes a diagnosis of gestational diabetes and begins treatments. What is the link between the diagnosis of gestational diabetes and the patient's signs of...

Mrs. Casey was expecting her second child. Because she had atypical postpartum elcampsia during her first...

Mrs. Casey was expecting her second child. Because she had atypical postpartum elcampsia during her first pregnancy, she chose to be cared for by a group of obstetricians who specialized in complicated obstetrical care. She delivered a healthy daughter during the 9thmonth of her pregnancy. Shortly after delivery, she reported swelling in her hands and face, headaches, and visual change she associated with the postpartum symptoms she had experienced following the birth of her child 2 years earlier. One of...

Kate is a 30 year old woman who just delivered her second child two weeks ago....

Kate is a 30 year old woman who just delivered her second child two weeks ago. Two weeks after her delivery, Kate comes to your office to be evaluated. She states she has been tired, weak, and has widespread joint and muscle pain. Despite the mild weather, she notes that she is cold all the time, and that instead of losing her “baby weight” she has actually gained about 15 pounds. Kate has delivered two healthy children. She has no...

Subjects