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
Persons with type AB blood are sometimes called universal recipients, not donors. This means they can safely receive a blood transfusion using any other blood type. Choice A is wrong because it confuses type AB blood with type O negative blood.
Type O negative blood is considered the universal donor type because it has no antigens on the surface of red blood cells and can be given to people of any blood type.
Type AB-positive blood is also considered the universal plasma donor type because it has both A and B antigens and can be given to patients with any blood type.
Plasma is the liquid part of blood that carries cells and proteins throughout the body.
The presence or absence of antigens and the Rh factor determine how a person’s immune system reacts to a blood transfusion or organ transplant.
Antigens are substances that can trigger an immune response if they are foreign to the body.
The Rh factor is a protein that can be either present (+) or absent (-) on the surface of red blood cells.
Correct Answer is D
Explanation
Macrophages are the main cells that clear out the cell debris by phagocytosis, a process that involves recognition, engulfment, and degradation of the disposable particles.
Macrophages are professional phagocytes that can be found in various tissues and organs, where they perform efferocytosis, the removal of dead and dying cells.
Choice A is wrong because lymphocytes are not phagocytes, but rather immune cells that mediate adaptive immunity by producing antibodies or killing infected cells.
Choice B is wrong because cytokines are not cells, but rather soluble molecules that regulate inflammation and immunity by acting as signals between cells.
Choice C is wrong because mast cells are not primarily involved in clearing cell debris, but rather in allergic reactions and innate immunity by releasing histamine and other mediators.
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