OB clinical rotation question

[aw1087]

A primigravida at 36-weeks gestation, who is Rhnegative, experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the healthcareprovider?

a.Fetal heart rate of 162 beats/minute

b.Trace of protein in the urine

c.Positive fetal hemoglobin testing

d.Mild contractions every 10 minutes.

I put C down but I can not find the answer in the book for the life of me. Any input or rationale would be helpful.

[KelRN215, BSN, RN]

What needs to happen with an Rh- mother whose blood has mixed with her Rh+ positive fetus's during pregnancy?

[aw1087]

That's when she would get the rhogam injection. Ok that is making way more sense to me when you present it that question. Thank you so much for the help and direction. The crossing of different blood types could be very harmful on the baby especially if it wasn't the first pregnancy.

[QuietIsntAWord]

and this is how questions should go on this website. Good job aw!

[KelRN215, BSN, RN]

That's when she would get the rhogam injection. Ok that is making way more sense to me when you present it that question. Thank you so much for the help and direction. The crossing of different blood types could be very harmful on the baby especially if it wasn't the first pregnancy.

Exactly. This is the first baby, as the question states that she's a primigravida; however if she doesn't get RhoGam, she's going to develop anti-Rh antibodies and future pregnancies could be at risk.

A fetal HR of 162 is normal and trace protein/mild contractions aren't all that concerning in this situation.

[KrCmommy522, BSN, RN]

and this is how questions should go on this website. Good job aw!

AGREED!! I've had enough of the posts that are like, here's my question, now GO! Great job OP on posting what you thought the answer was!