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Rh incompatibility prevention — ABFM Board MCQ

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EasyWomen's health/OB/GYNRh incompatibility preventionABFM Board

A 24-year-old pregnant woman is Rh-negative and unsensitized. She is at 28 weeks' gestation and the father is Rh-positive. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CAdminister Rh(D) immune globulin

Explanation lettering: E = shown as A · C = shown as B · B = shown as C · A = shown as E

Unsensitized Rh-negative pregnant patients should receive Rh(D) immune globulin around 28 weeks and again after delivery if the infant is Rh-positive.

Reference: USPSTF A and B Recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations