Erythroblastosis fetalis may occur in:
A second Rh-negative fetus developing in an Rh-negative woman.
A second Rh-positive fetus developing in an Rh-negative woman.
A first Rh-positive fetus developing in an Rh-negative woman.
A first Rh-negative fetus developing in an Rh-negative woman.
The Correct Answer is B
This is because erythroblastosis fetalis, also known as hemolytic disease of the newborn, is caused by Rh incompatibility between the mother and the fetus.
Rh incompatibility occurs when a Rh-negative mother is impregnated by a Rh-positive father, resulting in a Rh-positive fetus.
The mother’s immune system can detect the Rh factor on the fetus’s red blood cells as foreign and produce antibodies against them.
These antibodies can cross the placenta and destroy the fetus’s red blood cells, causing anemia, jaundice, edema, and other complications.
Choice A is wrong because a second Rh-negative fetus developing in an Rh-negative woman will not cause erythroblastosis fetalis.
The mother and the fetus have the same Rh factor, so there is no immune reaction.
Choice C is wrong because a first Rh-positive fetus developing in an Rh-negative woman will not cause erythroblastosis fetalis.
The mother’s immune system will not produce antibodies against the Rh factor until after the first exposure to it, which usually happens during delivery.
Therefore, the first pregnancy is usually unaffected.
Choice D is wrong because a first Rh-negative fetus developing in an Rh-negative woman will not cause erythroblastosis fetalis.
The mother and the fetus have the same Rh factor, so there is no immune reaction.
The normal range of red blood cell count for newborns is 4.1 to 6.1 million cells per microliter of blood.
The normal range of bilirubin level for newborns is 0.3 to 1.9 milligrams per deciliter of blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Circadian rhythm is the term for the biological clock that regulates the sleep-wake cycle and other physiological processes in the body.
Melatonin is a hormone that is produced by the pineal gland in the brain in response to darkness.
It helps with the timing of the circadian rhythm and promotes sleep.
Choice A is wrong because metabolic rate is not affected by light exposure, and thyroxine is a hormone that regulates metabolism, not sleep.
Choice B is wrong because the limbic system is a part of the brain that is involved in emotions, memory, and motivation, not sleep.
Thymosin is a hormone that stimulates the development of T cells, which are part of the immune system.
Choice C is wrong because the circulatory system is the system of blood vessels and organs that transport blood throughout the body, not a part of the brain that controls sleep.
Dopamine is a neurotransmitter that is involved in reward, motivation, and movement, not sleep.
Correct Answer is A
Explanation
The lymph nodes of the axillary region receive lymph mainly from the upper limb and mammary gland.
This is because the axillary lymph nodes are located in the armpit area and drain the lymph vessels from the lateral quadrants of the breast and the arm.
Choice B is wrong because the abdominal viscera are drained by the celiac, superior mesenteric, and inferior mesenteric lymph nodes.
Choice C is wrong because the scalp and face are drained by the cervical lymph nodes.
Choice D is wrong because the thoracic viscera are drained by the bronchopulmonary, tracheobronchial, parasternal, and posterior mediastinal lymph nodes.
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