Maternal D alloimmunization (management) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 29-year-old woman, gravida 2, para 1, at 28 weeks of estimated gestational age (EGA), presents for a routine antenatal appointment. She has no vaginal bleeding, cramping, loss of fluid, or decreased fetal movement. Her initial prenatal blood work revealed an A-negative blood type, mild anemia, positive IgG antibodies to Rhesus D, rubella, and varicella, and negative syphilis, hepatitis B, and HIV (Human Immunodeficiency Virus) screening tests. Her first pregnancy was complicated by a chronic placental abruption. Vital signs today are within normal limits, and she appears well, with a gravid abdomen and a fundal height of 26 cm. Labs today show an anti-D antibody titer of 1:32. Doppler velocimetry shows peak blood flow velocity through the middle cerebral artery (MCA) two times above the median and normal flow through the umbilical arteries and ductus venosus. Which of the following is the most appropriate next step in management? 

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