When an Rh-negative mother has been sensitized and is pregnant with an Rh-positive fetus, what happens to the fetus?
A) Bilirubin deficiency
B) Nothing, this is normal
C) Plasma volume depletion
D) Profound red cell hemolysis
Ans: D
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This situation is totally detrimental to the health of the fetus. Rh incompatibility and production of antibodies by the mother will result in life-threatening fetal red cell hemolysis. The bilirubin will be sufficiently elevated to cause brain damage. The infant will have massive edema from a lack of albumin production.
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