Neonatal Intensive Care Nurse Exam
Questions and Answers 100% Correct
How does idiopathic thrombocytopenia purpura (ITP) or lupus affect the fetus? -
ANSWER It produces antibodies against fetal platelets
In moms with ITP and resultant production of antibodies against fetal platelets,
what can this result in for the fetus? - ANSWER Neonatal alloimmune
thrombocytopenia
Does the maternal thrombocyte count correlate with the neonates? - ANSWER
No
In a mom with ITP or lupus, at what point will she be treated for it? - ANSWER
When the platelet count is <20,000 or if bleeding occurs
In a mom with ITP or lupus, what are the primary risks to the neonate? -
ANSWER Intraventricular hemorrhage or visceral hemorrhage
In a mom with ITP or lupus, how should the neonate be assessed? (What exams
should be done?) - ANSWER Platelet count
Head ultrasound if platelet count is <50,000
, In a mom with ITP or lupus, what should the medical treatment include? -
ANSWER Corticosteroid treatment (to depress immune response and increase
platelet count)
Platelet transfusion is the platelet count is <25,000 (when stable) and <50,000
(when unstable)
What numbers signify chronic hypertension? - ANSWER BP >140/90
If an expectant mother has chronic hypertension, what is her risk for developing
gestational hypertension? - ANSWER 25%
What medications for controlling HTN have been linked to congenital
malformations? - ANSWER ARBs and ACE inhibitors
Medications such as ARBs and Ace inhibitors have been linked to what during
pregnancy? - ANSWER Congenital malformations
What is the incidence of gestational hypertension (preeclampsia or toxemia)? -
ANSWER About 5%
What are the main features of gestational hypertension/preeclampsia? -
ANSWER Elevated blood pressure and proteinuria
About what point during pregnancy do signs of gestational
hypertension/preeclampsia start to show? - ANSWER Around 20 weeks.
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