ATI Pediatrics Final Exam

Extract:

A client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility

Question 1 of 5

A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?

A. The client has a history of receiving a transfusion with Rh-negative blood B. The client's anti-A and anti-B antibodies cross the placenta and cause the destruction of the fetal red blood cells C. The client's blood contains the Rh factor and the newborn's does not, and antibodies that destroy red blood cells are formed in the fetus D. The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that cross the placental barrier and cause hemolysis of red blood cells in newborns

Correct Answer: D

Rationale: The correct answer is D because in Rh incompatibility, if the mother is Rh-negative and the baby is Rh-positive, the mother's immune system can produce anti-Rh antibodies that cross the placenta and attack the baby's red blood cells, causing hemolysis and leading to hyperbilirubinemia.
Choice A is incorrect because a history of receiving Rh-negative blood does not lead to Rh incompatibility.
Choice B is incorrect because it describes the mechanism of ABO incompatibility, not Rh incompatibility.
Choice C is incorrect because it describes the process of Rh incompatibility but reverses the roles of the mother and baby.

Extract:

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

ATI Pediatrics Final Exam | Nurselytic

Nurselytic

ATI RN

ATI RN