Lippincott Maternal Health Practice Exam

The Rh factor is crucial in understanding potential pregnancy complications, particularly when there is incompatibility between the mother's blood type and that of the fetus. In cases where an Rh-negative mother carries an Rh-positive fetus, the mother's immune system may recognize the Rh-positive blood cells as foreign. This can lead to the production of antibodies against those cells, particularly if fetal blood cells enter the maternal circulation, which can occur during delivery or in certain prenatal circumstances.

If these antibodies cross the placenta and enter the fetal circulation, they can cause hemolytic disease of the newborn (HDN), characterized by the destruction of fetal red blood cells. This condition can lead to serious complications such as jaundice, anemia, and in severe cases, heart failure or stillbirth. Therefore, understanding the implications of Rh factor incompatibility is critical for managing prenatal care and ensuring the health of both the mother and fetus.

Other options present roles that are not related to the Rh factor. For instance, the Rh factor does not influence maternal weight gain, enhance fetal oxygenation, or prevent gestational diabetes, making them less relevant in the context of pregnancy complications associated with Rh incompatibility.