Aprimigravida has just given birth. the nurse is aware that the client has type ab rh-negative blood. her newborn's blood type is b positive. what should the plan of care include?

Ans.

In given case, mother blood group id AB-Rh negative, while blood type of newborn is B-Rh positive. This condition can leads to development of RH disease, also known as erythroblastosis fetalis in second or subsequent pregnancies.

It occurs when mother has Rh-negative blood group and father has Rh-positive blood group, which leads to a Rh-positive pregnancy. At the time of first delivery, mother gets exposed to Rh-positive blood of baby that causes production of antibodies and memory cells against Rh-positive blood in mother. During second pregnancy, these memory cells produce antibodies which may affect health of developing embryo in womb.

So, nurse should prescribe to administration of D-antibodies or Rho-antibodies to the mother, immediately after the delivery. These antibodies act against antibodies against Rh-positive blood and neutralize them. Thus, no more anti-Rh positive antibodies will present in mother cell that can harm during second pregnancy.

during the process of dna replication, brdu can replace thymidine and incorporate into the newly synthesized dna, cell proliferation thus can be reflected in the extent of brdu incorporation.