Exit USMLE-STEP-2 United States Medical Licensing Step 2
Question 2 of 5
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Q2 Single choice

A woman at 31 weeks' gestation complains of feeling dizzy and lightheaded when she lies on her back. She is Rh negative but denies vaginal bleeding, abdominal trauma, or abdominal pain. The diagnosis is probably the supine hypotensive syndrome.
In which of the following circumstances is the administration of anti-D immune globulin not necessary?

  • A

    threatened abortion and first-trimester bleeding

  • B

    genetic amniocentesis at 16 weeks' gestation

  • C

    at 28 weeks

  • D

    at 40 weeks with the onset of labor

  • E

    after delivery of an Rh-positive fetus