Which of the following situations could result in maternal antibodies attacking fetal blood cells during a second pregnancy?
Mom is Rh-positive and the fetus is Rh-positive
Mom is Rh-negative and fetus is Rh-positive
Mom is Rh-negative and fetus is Rh-negative
Mom is Rh-positive and fetus is Rh-negative
The Correct Answer is B
a) Mom is Rh-positive and the fetus is Rh-positive: No issue arises because the mother's immune system recognizes the Rh antigen as self.
b) Mom is Rh-negative and fetus is Rh-positive: If the mother is Rh-negative and the first fetus is Rh-positive, the mother's immune system may become sensitized during delivery. In subsequent pregnancies with Rh-positive fetuses, maternal anti-Rh antibodies (IgG) can cross the placenta and attack fetal RBCs, causing hemolytic disease of the newborn (erythroblastosis fetalis).
c) Mom is Rh-negative and fetus is Rh-negative: No immune response is triggered; both are Rh-negative.
d) Mom is Rh-positive and fetus is Rh-negative: No risk; maternal antibodies are not formed against Rh-negative cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Entering the nucleus of a cell and initiating or altering the expression of a gene: Steroid hormones (e.g., cortisol, estrogen) are lipid-soluble and can pass through the cell membrane to bind intracellular receptors, influencing gene transcription.
b) Finding an appropriate cell receptor and initiating cAMP activity: This describes non-steroid hormones (e.g., catecholamines, peptide hormones) using second messenger systems, not steroids.
c) Stimulating the synthesis of glycogen: This is an effect of some hormones (e.g., insulin), but it’s not how steroid hormones act.
d) Increasing blood pressure: While some steroid hormones (like aldosterone) may affect blood pressure, this is not their mechanism of action.
Correct Answer is A
Explanation
a) Lumen of follicle: Iodide is actively transported into follicular cells, then secreted into the follicular lumen, where it becomes oxidized and incorporated into thyroglobulin during the synthesis of thyroid hormones (T3 and T4).
b) Secretory vesicles inside follicular cells: These vesicles may contain thyroglobulin, but iodide is concentrated in the lumen for hormone synthesis.
c) Golgi apparatus of parafollicular cells: Parafollicular (C) cells produce calcitonin, not thyroid hormones.
d) Cytoplasm of follicular cells: While iodide is transported into the cytoplasm briefly, its major functional location is in the lumen.
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