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A 28-Year-Old Woman Is 30 Weeks Pregnant with Her Second

Question 68

Multiple Choice

A 28-year-old woman is 30 weeks pregnant with her second child and is being seen for a scheduled obstetric visit. Her first pregnancy and delivery was uncomplicated, and she has a healthy 2-year-old girl. It is known that the mother is Rh-, and this child could be at risk for hemolytic disease of the newborn. She received RhoGAM with her first pregnancy.
-The patient asks the nurse to explain 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 you do not receive RhoGAM,the baby's body will reject not having Rh antibody anymore.

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