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 A
Explanation
The celiac artery supplies blood to the liver, spleen, and stomach.
It is one of the three major branches of the abdominal aorta, along with the superior mesenteric artery and the inferior mesenteric artery.
The celiac artery divides into three branches: the left gastric artery, the splenic artery, and the common hepatic artery.
Choice B is wrong because the brachiocephalic artery is a large vessel that arises from the aortic arch and supplies blood to the right side of the head and neck and the right arm.
It has no connection to the liver or spleen.
Choice C is wrong because the renal arteries are paired vessels that arise from the abdominal aorta and supply blood to the kidneys.
They are located below the superior mesenteric artery and above the inferior mesenteric artery.
Choice D is wrong because the tibial arteries are branches of the popliteal artery that supply blood to the lower leg and foot.
They are located in the posterior and anterior compartments of the leg.
The normal range of blood pressure in the celiac artery is about 100-120 mmHg systolic and 60-80 mmHg diastolic.
The normal range of blood flow in the celiac artery is about 200-300 ml/min. The normal diameter of the celiac artery is about 5-7 mm.
Correct Answer is D
Explanation
A person who is stressed usually will have increased blood pressure because stress causes the body to release a surge of hormones that make the heart beat faster and the blood vessels narrow.
This can cause a temporary spike in blood pressure, which usually returns to normal once the stressor is gone.
Choice A is wrong because resistance to infections is not increased by stress.
In fact, chronic stress can weaken the immune system and make a person more prone to infections.
Choice B is wrong because the activity of the spleen and other lymphatic organs is not increased by stress.
The spleen and other lymphatic organs are part of the immune system, which can be affected by chronic stress in a negative way.
Choice C is wrong because the number of lymphocytes in the blood is not increased by stress. Lymphocytes are a type of white blood cell that help fight infections.
Chronic stress can reduce the number and function of lymphocytes and impair the immune response.
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