Rh Incompatibility in Pregnancy Nursing NCLEX Management | Rhogam Shot Maternity Review

Rh incompatibility in pregnancy nursing NCLEX maternity review: management, pathophysiology, Rhogam shot, and hemolytic disease of the newborn.
What is Rh incompatibility? It occurs when a father who is Rh-positive and a mother who is Rh-negative have a baby that is Rh-positive. The baby's Rh-positive blood will leak into mom’s circulation (most likely during delivery), and this will cause the mother's to build antibodies.
The baby of the first pregnancy is not typically harmed. However, the baby during the second pregnancy, who is Rh-positive, will be affected because those antibodies created during the first pregnancy are in mom's circulation. These antibodies will attack the baby's red blood cells.
This will lead to hemolytic disease of the newborn and cause: anemia, jaundice, heart failure, swelling/edema, splenomegaly along with hepatomegaly.
The key is to keep mom from being sensitized, which is done through giving her a medication called Rhogam. This medication is given at 28 weeks and again at 72 hours after delivery if the baby is Rh-positive.
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[@RegisteredNurseRN]

Hello Everyone :) Thank you so much for watching! Don't forget to check out: More Maternity Lectures: kzbin.info/aero/PLQrdx7rRsKfXiZ3a-IbRaUJXMa8mXyuOL Notes: www.registerednursern.com/rh-incompatibility-pregnancy-nclex-review/ Instagram: instagram.com/registerednursern_com/ Facebook: facebook.com/RegisteredNurseRNs Subscribe: kzbin.info_center?

[@suzannep6708]

incredible video! so well explained. thank you!!!

[@asg_0792]

mother is Rh+ and a father is Rh+ is that okay?

[@najatitati7177]

Angelie Singcol Gacera yes

[@alexiswashington3559]

If mother becomes sensitized with antibodies, and she cannot take rhoGAM. Is every pregnancy from now on at risk for complications: anemia, CHF, jaundice, etc? Or just the second pregnancy is affected and subsequent pregnancies with RH+ baby are fine?

[@Antman72]

great explanation

[@maricelproctor6217]

Hi Sarah! You are such a great teacher. I passed my NCLEX RN today. I did watched most of your videos 3 weeks prior the exam. Thank you!!!😄

[@ayponmqa1390]

😂😂

[@dasiabuie8112]

When I was a nursing student I watched your videos and they helped a lot! Now I’m a nurse and I watch your videos as a refresher. Thank you!

[@janicehodge1819]

I can't tell you how much I appreciate these videos. If only they teach these contents in nursing school the way you do; so many students would succeed. Thank you so very much!

[@Abbyvzla]

I’m not in nursing school but I am pregnant and I’m RH negative and wanted to look deeper into what that meant, what it does, and just be informed 😇 loved this video and now I understand why I got the Rhogam shot. Just 7 more weeks before I see my baby 👶🏻 🌸

[@dontreyscruggs7516]

Hello I know this comment was a year ago I’m currently th-negative how was your labor now I’m kinda scare I’ll lose a lot of blood and etc

[@hanifahnanteza4029]

I lost ababy through that incompatibility

[@ahmedma3oda]

I hope he is 4 years old now

[@rachellockley9017]

This concept was always so confusing to me throughout nursing school. Now I'm studying for the NCLEX and I had to learn it. This explanation was amazing, it makes so much sense now. Your other video about blood typing was so helpful as well. Thank you so much, Sarah!!

[@billseckinger6613]

If and when I get my degree, there's gonna be a little asterisk on it with your name at the bottom

[@bbennyj]

I’m with you on that. I love this lady. Sarah’s the best.

[@MrJimmy-ox7fq]

These videos are fantastic! Excellent lucid explanations for all areas of Nursing! I only wish I had discovered this video series while I was in Nursing school versus just as an NCLEX prep. Keep up the good work!

[@jaikaranlisa]

You are a life saver! I appreciate your videos so much. You definitely decreased my stress level as I prepare for my NCLEX!!! I feel a lot more confident because of your videos. You are a blessing to Nursing students. Thank You.

[@Latiab12]

Amazing thank you! I had an idea of what was occurring, but after watching you, I can confidently explain this process with confidence! Great reinforcement, so thank you!

[@alikacerto2280]

I just discovered your channel. Thank you so much for making these videos. I needed a refresher on the Rh factor during pregnancy for Microbiology. Your channel will be so helpful once I begin the nursing program!

[@dhaynes325]

Thank you for your videos. I took my proctored ATI exam on OB and got a level 2 by watching your videos. Your teaching is great and easy to grasp. On to Peds I will definitely keep supporting and watching your videos on your channel and website. Thank you very much

[@kamuqu2200]

I'm Rh-, and I'm pregnant. Thank you. You explained very well, and easy to understand.

[@anitaewere]

You are such an amazing teacher, I finally understand how this works!

[@wrensniffer2050]

I am RH- pregnant with my first child, his father of course. is RH+. tomorrow I'll be getting a shot to hopefully prevent me from becoming sensitized to RH+ blood, here's hoping. I was so scared about what this could mean for my baby and any future babies I am to have, but knowing exactly what's going on in my body and baby's body makes me feel confident to at least (somewhat) know what I need to talk to my doctor about. Thank you for these informative videos.

[@jonasprevosa2924]

I love learning from your videos! My family are full of nurses and are familiar with your voice! We love your work!

[@JenelleM.]

Thank you so much, God has really blessed you with a level of understanding for you to be able to explain with such clarity and in turn be a blessing to us.

[@christinathompson2717]

Thank you!!!!!! reading this in the text book made my brain hurt and you just explained it so excellently!

[@cherrysantos96]

As usual... you amaze me with so much easy to understand video! You are simply amazing! May the good Lord bless your heart and give you more strength so you can share more of your knowledge and skills among us! More power!

[@jmgavino3246]

When im confused while studying for exams, i always look up for your videos. IT REALLY HELPED ME ALOT. Youre a natural teacher. Hope youll do by system anatomy and physiology. I know its basic but itll surely be a good start and refresher for people, like me, who have hard time with medsurg. 😅 Please continue uploading until our grandchildren sees this. 😍

[@jasbe4311]

Finally I understand this clearly. Thank you so so MUCH! You’re the BEST!!! 👏🏻🙏🏻

[@keizigomez2556]

You are such a blessing to us upcoming midwives and healthcare professionals thank you so very much😊

[@aliciaspinelli9381]

love your lectures, girl! I use them all the time for med school. The way you break down material is awesome. Sending love from NY!

[@nursebread]

Will be taking my NCLEX this Sept. And even after being enrolled in a review center... I only got it now, with you explaining it. Thank you. You're an angel!

[@jameskim9144]

I plan on binge watching your videos as i study for the NCLEX!

[@aplusfamily9498]

I can’t thank you enough! I really appreciate how well you explained. I’m 34 weeks pregnant and I’m going through this now with antibodies and risk of fetal anemia due to Rh.

[@marie99cents]

Because of your videos, I could myself the smartest nursing student. Thank you for your time.

[@goharfatima6773]

I'm a final year MBBS student and I love your lectures, thank you sooo much and keep up the good work ma'am 🥺❤️

[@punkvirusboi]

I am a PA student and your videos are so helpful and short to the point. Thanks for all you do.

[@shebah5386]

Hi sarah, I've watching your videos and it so easy to understand and very helpful with my studies, and I'm taking my licensure exam on Aug 2019😊 God Bless you and more videos to help😘 Shebah, UAE🇦🇪

[@jward2c]

I am so happy that this information is available now. It was not when my friends child was born 25 years ago and things went sideways because of the blood incompatibility. Fortunately there was time for a blood transfusion that saved the baby. Thanks so much.

[@yunusrozyyev4691]

I finally understand what Rh -/+ means , thank you so much

[@kevinjayemalvar6803]

I’ve been watching your videos over and over again. You make this topics very understandle. Would be able to make more of Maternity Topics like ecplampsia and so on.

[@Oeg95]

I'm expecting my first and panicked seeing I was Rh+ thinking it could hurt my bubba, but I feel so reassured now! Phew! Thank you x

[@lg9650]

Thank you very much Sarah, you are amazing, the way you explain is very easy to understand. You should be a Nclex instructor.

[@talkativetilly479]

Very helpful! Thank you for this information/video! Now I feel more informed going in to get my Rhogam injection.

[@Lisais23]

Doing my nclex review, your videos are SAVING MY LIFE! THANK YOU THANK YOU THANK YOU!

[@Lisais23]

UPDATE: I'M PLEASED TO INFORM YOU THAT I PASSED NCLEX, 75 QUESTIONS! THANKS AGAIN FOR HAVING A PAGE LIKE THIS! YOU ARE SAVING LIVES! MUCH LOVE FROM FLORIDA! 💕

[@RegisteredNurseRN]

Yay, that's so awesome. Congrats! I hope you have a blessed career as a nurse! Thanks so much for studying with me.

[@mariammirzabekyan9948]

Couldn't have explained it any better, thank you !!!

[@nyenye5292]

I love ur videos so much I’m a medical student nd u’ve made my life so much easier

[@elvirarodriguez6848]

So helpful!! Thank you Sara you are the best of the best educator!

[@shavionbates9211]

You did a really excellent job explaining this. Thanks

[@katherinecasey7400]

These videos are so helpful, thank you so much!!!

[@michellepalmer6815]

Than you. I am RH negative and I have a kids.i was always confused this video helps me to understand more .

[@sravanikotnuru987]

It's very useful,thankyou mam❤️ U r method of teaching is very clear & easy to understand ..........,🥰

[@NurseLiz]

Great job! Very easy to understand :)

[@maalmuteri5717]

I got 5/5 GBA because of you !!! Thank you so much

[@starRN08]

I have stopped watching other lecturers videos because I have increased ICP from not being able to understand it. LOL But when I discovered you, I can't stop watching for more. Thank you Nurse Sarah, you are awesome! :-)

[@catalinahernandez359]

This was such a helful video! I was able to understand the concept very well.

[@MistyEry]

I appreciate this. Thankyou. I was RH- and had to get a shot in my first pregnancy.

[@Jenembu]

I have a question. Did you have other kids ? My wife is rh- and I'm positive. Are your kids healthy. ?

[@Abbas-kadhem]

thanks for you ... you great teacher.. 👍✋

[@rosapalomino5023]

you are extremely excellent teacher thank you so much i am learning

[@BlueLineRider]

This is really good. Been binged watching as a refresher. If I can suggest, can we please have a link (like an i marker or thru lower thirds) of the blood types at around 1:00 it would be helpful for old ducks myself.

[@udayvaniya4220]

Nice video,, your style and voice is lovely!! You can become singer, I think so...

[@tonym6920]

Excellent presentation Sarah.

[@X3GibbleX3]

Great video as always! Thank you so much!

[@eben8999]

I love your videos you have taught me so much lol

[@hammbaby]

great video, all my friends in my cohort llve love your well explained and free videos

[@thecosmicray4474]

Yes this we have in Zoology of academic class IX in India. Actually that was a five mark question. Girl, you explained fantastically. 💐🔥🥳🥳🎉🎉💐🔥🔥 As this is mandatory of our next generation am sharing this for my near and dear be aware and precautions protecting their little hears

[@abbyRN94]

For some reason this would confuse me sooo sooo much in class. Thank you for your great presentation!

[@hanumanthappah6956]

Super mom

[@hanumanthappah6956]

Super

[@sikakwarteng]

Hi there! I was wondering if you could do a video on peripheral vascular disease, and acute ischemial situations, and also cancer care?

[@rachelsire2546]

This was so clear thank you!

[@TheButterflyFairy]

Thank you for this! You are a lifesaver !

[@user-mm6xp9zc9q]

This is very crucial information for me. I have the extremely rare AB negative blood type. I am 33 and been thinking about motherhood more and more, I had no idea about this. So now I'll be making sure I get with a man of a negative blood type lol also I teared up when you were talking about what would happen to the baby with positive blood type ......

[@Sexikera]

Great video for immunity section in nursing school

[@melissahall7009]

Thank you for your great videos

[@courtneywebb5514]

You explain things so much better than my professors😅

[@meemslouvier4397]

thats a grear video, in my case im the baby rh negative and my dad has the same blood type, my mom is rh positive tho, so it was a huge problem on my delivery.. i think it could be great if you do a video with those examples, many people dont know about this subjests yet. i know actully lots of pple that dosent even know their blod types

[@saagarika6158]

Thank you so much for making it clear

[@geordayne]

Please do a series on oncology!

[@joices5872]

nice lecture....ur looking pretty mam

[@everythingesmith1452]

you rock THANK YOU SO MUCH!

[@PD-st8bg]

Serious question - can someone explain to me the logic behind putting antibodies into your bloodstream while pregnant, as a means to prevent antibodies from getting into your bloodstream the next time you’re pregnant?

[@muharremhamedoglu3592]

Did you Find the answer

[@mostimproved101]

this was a great explanation! thank you

[@EsiebaTina]

I so much love your teaching❤❤I want to be like you

[@deeak81]

Subscribed thank you fo explaining 👍

[@ChaleykiOnline]

This was perfectlt explained

[@benjaminmaringa6747]

Well explained. You're amazing

[@MegaRafaelloco]

Should’ve reviewed this prior to my test today. Now, I know for the final....😭😭

[@fayyy5044]

thank you very much this was very helpful

[@christylee1442]

Love all your videos!!

[@blink182izawsm]

👍thumbs up for women in medicine 🤗

[@avam1045]

This topic used to confuse me so much but you just explained it perfectly! Thank you Sarah!!!

[@mosaicrainbow6689]

Love your content !!!! You are brilliant

[@aimeeblack76]

I have Rh- blood and have had 4 babies who were all born Rh+. I only got the Rhogam shot after delivery. I always asked about the one at 28 weeks but they said I didn't need it. They did do an Indirect Coombs test to see if I needed it, but said I was fine. My babies were/are all fine. I'm wondering if this varies by country. (PS: I had all my babies in Japan).

[@graceuzor564]

If you are sensitized you will need the Rhogam twice

[@krislatoya7556]

Now I'm wondering more what's up with my doc giving me a shot at 28wks & wanting to give me 1 at 32 weeks.

[@laxmibhattarai3752]

Thanks.you are the best.

[@EmilyGloeggler7984]

The problem with the Rhogam shots is that they carry severe and deadly adverse events - Intravascular hemolysis (IVH) leading to death has been reported in patients treated for immune thrombocytopenic purpura (ITP) with Rho(D) immune globulin. IVH can lead to clinically compromising anemia and multi-system organ failure, including acute respiratory distress syndrome (ARDS), acute renal insufficiency, renal failure, and disseminated intravascular coagulation (DIC). Alert patients and closely monitor for the signs and symptoms of IVH in a health care setting for at least 8 hours after administration for ITP. Perform a dipstick urinalysis at baseline, 2 hours, 4 hours after administration, and prior to the end of the monitoring period. If signs and/or symptoms of IVH are present or suspected, post-treatment laboratory tests should be performed. Hemolytic reaction includes hypotension, nausea, chills, headache, and a decrease in haptoglobin and hemoglobin. Disseminated intravascular coagulation, Intravascular hemolysis, hemolysis resulting in death, clinically compromising anemia, extravascular hemolysis, hemolytic reaction, etc.

[@samofap3741]

we need you as a lecturer in medical school.

[@kathleenc6093]

Sarah thank you so much!! You are literally my best friend lol

[@christineirving4300]

That was all really well explained. I'm O- so I'll probably need the shot if I have a baby in the future.

[@sammiesalkeld4986]

You will absolutely need it. Im o- and get the Rhogam shot every time.

[@emilybeltran7317]

I’m O- I always had The R- shot And three of my deliveries turned out just. Fine.. 🙏🏼

[@statusboys4036]

Really interesting work.. :)

[@sciencevision8180]

Thanku

[@thegypsywanderer6916]

👌👌👍 thank you!

[@trenisamiller9093]

So it starts with second pregnancy and the others coming after the second pregnancy

[@tiktok-uq7lb]

Thank you very much

[@ArinzeEzelobe]

GREAT VIDEO. SUCINCT

[@titiladeadeniran9616]

Very understanding

[@freciahwanjiku7363]

So helpful really

[@ketakidave9209]

Thank You.

[@barakaahmed9359]

You are amazing 👏 ❤

[@wogoshesha4890]

10q very interesting explanation

[@anetshaji2942]

Such a useful video!!