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Please Read the Clinical Scenario, and Then Answer the Question

Question 52

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Marian is a 28-year-old woman who is 30 weeks' pregnant with her second child. Her first pregnancy and delivery was uncomplicated, and she now has a healthy 2-year-old girl. However, it is known that she is Rh-, and this child could be at risk for hemolytic disease of the newborn. She did receive RhoGAM with her first pregnancy. She presents to your maternal-fetal medicine clinic for a checkup, as she is a medium-risk pregnant mom.
-Marian asks you to explain to her what an Rh reaction involves with her baby.What is the best explanation?


A) "Your baby's Rh+ antibodies cross into your system,attacking your red blood cells and making you unable to deliver a healthy baby."
B) "Your baby has a type II hypersensitivity that will render its liver unable to clear bilirubin released from lysed cells."
C) "Your Rh antibodies will cross into your baby's fetal circulation,attacking and lysing his red blood cells."
D) "As soon as your baby is born,if he doesn't receive RhoGAM,his body will reject not having Rh antibody anymore."

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