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 B
Explanation
Kidneys are not part of the lymphatic system.
The lymphatic system is a network of vessels and organs that drain excess fluid from the tissues, transport fats and immune cells, and protect the body from infections.
Kidneys are part of the urinary system, which filters blood, regulates fluid and electrolyte balance, and produces urine.
Choice A is wrong because kidneys do not have a direct connection to the lymphatic system.
Although kidneys have lymphatic vessels in their cortex, they do not originate from the lymphatic system.
Kidneys receive blood from the renal arteries and return it to the renal veins.
The lymphatic vessels in the kidney cortex drain interstitial fluid and immune cells from the kidney tissue to the regional lymph nodes.
Some additional sentences are:
Choice B is right because kidneys are part of the urinary system, not the lymphatic system.
The urinary system and the lymphatic system have different functions and structures in the body.
Normal ranges for kidney function tests include blood urea nitrogen (BUN) of 7 to 20 mg/dL, serum creatinine of 0.6 to 1.2 mg/dL, and glomerular filtration rate (GFR) of more than 90 mL/min/1.73 m.
Normal ranges for lymphatic system tests include white blood cell (WBC) count of 4,000 to 11,000 cells per microliter, lymphocyte count of 1,000 to 4,800 cells per microliter, and immunoglobulin levels of IgG (700 to 1,600 mg/dL), IgA (70 to 400 mg/dL), IgM (40 to 230
mg/dL), IgE (0 to 100 IU/mL), and IgD (0.5 to 5 mg/dL).
Correct Answer is B
Explanation

Epinephrine, also known as adrenaline, is a hormone that the adrenal medulla secretes in response to stress or low blood sugar levels.
It helps the body react to stress by increasing blood pressure, heart rate, oxygen delivery to muscles, and blood sugar levels.
Choice A is wrong because mineralocorticoids are hormones that the adrenal cortex secretes, not the adrenal medulla.
They help regulate the balance of sodium and potassium in the body.
Choice C is wrong because glucocorticoids are also hormones that the adrenal cortex secretes, not the adrenal medulla.
They help control the body’s use of fats, proteins, and carbohydrates, suppress inflammation, and regulate blood pressure and blood sugar.
Choice D is wrong because aldosterone is a specific type of mineralocorticoid that the adrenal cortex secretes, not the adrenal medulla.
It helps regulate the balance of sodium and water in the body.
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