A pregnant woman presented in labor to the ER. She mentions that she, her husban

Question

A pregnant woman presented in labor to the ER. She mentions that she, her husband and 2 kids have been on the road for several months following the Grateful Dead Band (yep, that has been a long time now) and any other band, so it is unlikely she has had much pre-natal care. She assures you she always has had an easy time of it, but the second child did seem more tired than the first, although he is 2 years old and fine now. After delivery, the infant appears quite jaundiced and has the following blood values: (use appendix F in the back of the book or the internet to determine if these are normal or abnormal). Hematocrit: 28% Bilirubin 18 mg/dl AST 30 U/ml Direct Coombs test positive Infant type A+

7. The doctor has ordered phototherapy and transfusions for the baby. He wants the infant to receive A- blood. Why would he order that instead of A + (the baby’s blood type)?

8. The doctor says we need to bring the bilirubin down to prevent kernicterus, what is that?

Explanation / Answer

Answer:

Based on the given information, the infant

Why did doctor order A- blood transfusion instead of A+ (baby's blood type)?

Need to bring the bilirubin levels down to prevent kernicterus, what is that?

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