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
Naturally acquired active immunity is the type of resistance that is acquired as a result of developing a disease.
This means that the immune system produces antibodies to fight off the infection and remembers the pathogen for future protection.
This type of immunity is long-lasting and sometimes life-long.
Choice A is wrong because naturally acquired passive immunity is the type of resistance that is acquired when a person receives antibodies from another source, such as from the mother through the placenta or breast milk.
This type of immunity is temporary and lasts only for a few weeks or months.
Choice C is wrong because artificially acquired active immunity is the type of resistance that is acquired when a person receives a vaccine that contains a weakened or killed form of the disease organism.
This triggers the immune system to produce antibodies and memory cells without causing the actual disease.
This type of immunity can last for years or decades, depending on the vaccine.
Choice D is wrong because artificially acquired passive immunity is the type of resistance that is acquired when a person receives antibody-containing blood products, such as immune globulin, that provide immediate protection from a specific disease.
This type of immunity is also temporary and lasts only for a few weeks or months.
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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