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
Red blood cells do not contain a large nucleus; in fact, they do not contain a nucleus at all when they are mature.
This is an adaptation that allows them to carry more hemoglobin, the protein that binds oxygen, and to squeeze through narrow capillaries.
Choice B is wrong because it contradicts the fact that red blood cells are enucleated (lacking a nucleus) in humans and most mammals.
Some vertebrates, such as birds and fish, have nucleated red blood cells, but they are not thick near the center and thin around the rim of the cell.
Correct Answer is A
Explanation
It is a major component of the lymphatic system and contains T and B lymphocytes.
Choice B is wrong because the spleen does not produce T lymphocytes, but rather stores them.
T lymphocytes are produced in the thymus.
Choice C is wrong because the spleen does not filter lymph, but rather blood. It traps bloodborne microbes and produces an immune response to them.
Choice D is wrong because the spleen consists of one lobe and is located in the upper left abdomen below the diaphragm.
The description in choice D matches the thymus, not the spleen.
The normal size of the spleen in adults is about 12 cm long, 8 cm broad, and 3-4 cm thick, weighing about 200 g.
The normal range of splenic index (the product of length, width, and thickness) is 120-480 cm.
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