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 B
Explanation
a) On the inside of the plasma membrane: Catecholamines cannot cross the lipid bilayer, so they cannot bind to internal membrane receptors.
b) On the outside of the plasma membrane: Because catecholamines are water-soluble, they bind to extracellular receptors that initiate a second messenger cascade (e.g., cAMP).
c) In the cell cytoplasm: Only lipid-soluble hormones, like steroids, bind to intracellular receptors.
d) In the cell nucleus: Again, only lipid-soluble hormones (like thyroid hormones or steroids) reach nuclear receptors.
Correct Answer is A
Explanation
a) Hypothalamus: Oxytocin is synthesized by neurosecretory cells in the hypothalamus, specifically in the paraventricular and supraoptic nuclei. After production, it is transported down the axons of these neurons to the posterior pituitary gland, where it is stored and released into the bloodstream.
b) Somatic Nervous System: The somatic nervous system is part of the peripheral nervous system and controls voluntary skeletal muscle movements. It does not produce hormones and has no role in endocrine secretion.
c) Anterior Pituitary Gland: The anterior pituitary produces several hormones (like ACTH, GH, PRL, TSH, LH, and FSH), but oxytocin is not one of them. It is not produced by the anterior pituitary; instead, oxytocin is made in the hypothalamus and released from the posterior pituitary.
d) Posterior Pituitary Gland: While the posterior pituitary stores and releases oxytocin, it does not produce it. The production occurs in the hypothalamus, and the posterior pituitary acts as a storage and release site.
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