Why is the first Rh-positive baby born to an Rh-negative mother usually unaffected?


1.Both aplastic anemia and pernicious anemia are characterized by low red blood cell count; explain the difference in their causes.


2.Why is the first Rh-positive baby born to an Rh-negative mother usually unaffected?

-Because the mother’s blood antibodies did not affect the child. However, if the mother is not treated with Rhogam after delivery the mother has a increased chance of creating antibodies that WILL affect her next baby in utero due to the rh incompatibility creating antibodies that could attack the fetus in utero.

3.Explain what occurs in a myocardial infarction.


4.Explain how right-sided heart failure is usually caused by left-sided heart failure.


5.Name and briefly explain the four factors that influence blood pressure.


6.Explain the differences between normal postnatal circulation and fetal circulation.  Based on the environment of the fetus, explain how these differences make fetal circulation more efficient.


7.List three causes of acquired immunodeficiency syndrome.


8.Explain the difference in mechanisms in the development of the allergic reaction of runny nose and hives and the allergic reaction to poison ivy.



PART II: Case Study


Directions: Please answer each of the case study questions below.  Ensure that your responses are detailed and that each response is at least one half of a page to one page in length.  Please use proper APA format.  If necessary, please cite any sources.  You may also utilize LIRN for your research.  Please visit the Academic Resource Center (ARC) for concise APA and LIRN guidelines.


1.Mrs. Emery is pregnant.  Her blood type is O negative and her husband’s blood type is O positive.  She has been told that she will need to receive RhoGAM during her pregnancy (between 26 and 28 weeks) and again at delivery if the baby has O positive blood.  She feels that it is important to receive as few medications as possible during her pregnancy. How should you advise her?


2.Mrs. Miller has been advised that she has mitral valve prolapse.  She does not know what this is and has asked you to explain the disorder to her.  Are there any complications from this disorder?  How can this condition be corrected?


3.Mrs. Blake delivered a baby girl and was informed after the delivery that a “hole” in her baby’s heart had not closed properly and that surgery might be required to correct the problem.  What was meant by this statement?  How does fetal circulation differ from circulation after birth?



4.A patient being treated for AIDS comes to the office for a follow-up visit.  The patient tested positive for the disease several months ago but has had no real symptoms of the disease up to this time.  At the last visit, the physician prescribed a “cocktail” of several antiviral drugs.  When asked about his compliance with the drug reg

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