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 C
Explanation
Positive feedback mechanisms move conditions away from the normal state.
They amplify the original action and produce more of the same effect.
For example, blood clotting and childbirth are positive feedback mechanisms.
Choice A is wrong because positive feedback mechanisms usually produce unstable conditions.
They do not resist change but rather enhance it.
Choice B is wrong because positive feedback mechanisms do not cause long-term changes.
They are ultimately stopped by negative feedback loops once the process they were used for is complete.
Choice D is wrong because positive feedback mechanisms do not bring conditions back to the normal state.
That is the role of negative feedback mechanisms, which oppose the stimulus and restore homeostasis.
Correct Answer is B
Explanation
Hormones that the posterior pituitary secretes are synthesized in the hypothalamus.
They are made by neurons in the hypothalamus and stored and released by the posterior lobe of the pituitary gland, a small organ at the base of the brain.
They regulate water balance, blood pressure, and uterine contraction in the body.
Choice A is wrong because the anterior pituitary synthesizes its own hormones, such as growth hormone, thyroid-stimulating hormone, and prolactin.
Choice C is wrong because the thalamus is not involved in hormone synthesis or secretion. It is a part of the brain that relays sensory and motor signals to the cerebral cortex.
Choice D is wrong because the posterior pituitary does not synthesize hormones. It only stores and releases hormones made by the hypothalamus.
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