The nurse assessing a newborn with Rh sensitization explains the disorder to the parents. Which of the following accurately describes this condition?
A) The disease occurs when an Rh-negative mother is pregnant with an Rh-positive fetus.
B) The disease occurs from the first pregnancy on to subsequent pregnancies.
C) The disease causes the woman's antibodies to destroy fetal white blood cells.
D) The only treatment for the disease is performing an intrauterine transfusion.
A
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A hemolytic disease of the newborn, erythroblastosis fetalis, can occur when an Rh-negative mother is pregnant with an Rh-positive fetus, resulting in Rh sensitization (Rh incompatibility). The disease does not occur in the first pregnancy, but occurs with increasing severity in future pregnancies. The condition causes the woman's antibodies to destroy fetal red blood cells. Phototherapy is used to treat milder cases after birth. If such measures do not help, a series of exchange transfusions probably will be performed. In severe cases, the fetus may receive an intrauterine transfusion before birth.
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