Difficulty: Medium
Correct Answer: In the liver
Explanation:
Introduction / Context:
Sites of blood cell formation change over development. Understanding the timeline of fetal hematopoiesis helps interpret congenital immunodeficiencies, in utero infections, and neonatal immune status.
Given Data / Assumptions:
Concept / Approach:
The fetal liver is the principal hematopoietic organ during mid-gestation, supporting erythropoiesis and lymphopoiesis. The spleen contributes as well, but the liver is the primary site before the marrow becomes the main producer near birth.
Step-by-Step Solution:
Recall hematopoietic sequence: yolk sac → fetal liver (major) ± spleen → bone marrow (late gestation and postnatal).Match the best single answer emphasizing the major site → fetal liver.Exclude heart (non-hematopoietic organ) and bone marrow (dominant later).Therefore choose “In the liver.”
Verification / Alternative check:
Pediatric hematology sources consistently identify fetal liver as the predominant site from approximately weeks 6–7 through the second trimester.
Why Other Options Are Wrong:
Common Pitfalls:
Assuming adult patterns apply prenatally; failing to distinguish “major site” from “contributing site.”
Final Answer:
In the liver
Discussion & Comments