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MVU NURS 629 Exam 4 100% Correct Answers Verified Latest 2024 Version.
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MVU NURS 629 Exam 4 100- Correct Answers Verified Latest 2024 Version.
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MVU NURS 629 Exam 4 | 100% Correct Answers |Verified | Latest 2024 Version
What .is .physiological .jaundice? .- .(correct .answer) .--occurs .when .baby .accumulates .bilirubin
-secondary .to .immature .liver .in .newborns
-common .first .2-4 .days .of .life .and .resolves .by .2 .weeks
What .level .is .conjugated .hyperbilirubinemia? .- .(correct .answer) .-
serum .conjugated .bilirubin .concentration .greater .than .1
.mg/dL .if .the .total .bilirubin .is .less .than .5.0
.mg/dL .or .more .than .20% .of .the .total .bilirubin .if .the .the .total .bilirubin .is .greater .than .5 .mg/dL .
(p. .862 .AAP .book)
What .is .breastfeeding .jaundice? .- .(correct .answer) .--
due .to .poor .intake .that .causes .lack .of .stools .and .urine .output
-common .in .first .week .and .resolves .once .milk .comes .in .and .infant .is .feeding .well-
more .stools .and .urinary .output
-peaks .around .2-3 .weeks
How .do .you .diagnose .jaundice? .- .(correct .answer) .--dx .with .a .bili .level .of .5 .mg/dL
-12 .mg/dL .threshold .for .all .newborns .having .jaundiced .appearance
-direct/indirect .bili .levels
-CBC
-reticulocyte .count
How .do .you .treat .jaundice? .- .(correct .answer) .-increased .intake
indirect .sunlight
phototherapy
IV .fluids
What .are .other .causes .of .jaundice? .- .(correct .answer) .-abnormal .blood .cell .shapes .(like .sickle .cell)
Rh .incompatibility
,cephalohematoma
polycythemia .(increased .RBCs, .SGA .infants, .twins)
infection
specific .enzyme .disorders
What .is .biliary .atresia? .- .(correct .answer) .--life-
threatening .condition .causing .a .blockage .of .bile .ducts .inside .or .outside .of .liver
-leads .to .build-up .of .toxins .(like .bilirubin)
-malabsorption .of .fat-soluble .vitamins .A,D,E,K
-scaring .of .the .liver, .loss .of .tissue, .cirrhosis
-not .inherited
What .are .the .two .types .of .biliary .atresia? .- .(correct .answer) .-fetal- .noted .in .womb .
(other .defects .like .heart, .spleed, .intestines)
perinatal- .appears .2-4 .weeks .after .birth
What .causes .biliary .atresia? .- .(correct .answer) .--infection .after .birth .(cytomegalovirus .or .rotavirus)
-autoimmune .disorder
-developmental .issue .in .womb
-exposure .to .toxic .substances
What .are .symptoms .of .biliary .atresia? .- .(correct .answer) .-jaundice
dark .urine
light .to .white .stools
poor .wt .gain .and .growth
How .do .you .diagnose .biliary .atresia? .- .(correct .answer) .-any .infant .with .jaundice .present .2-
3 .weeks .after .birth
-direct .and .indirect .serum .bilirubin
-LFTs
-abdominal .x-ray
-abdominal .US
, -liver .bx
How .do .you .treat .biliary .atresia? .- .(correct .answer) .-surgery .(Kasai .procedure)
liver .transplant
What .are .risk .factors .for .dehydration? .- .(correct .answer) .-GI .virus
vomiting/diarrhea
What .are .s/sx .of .dehydration? .- .(correct .answer) .-sunken .anterior .fontanel
tachycardia .and .decrease .cap .refill
decrease .urine .output .is .sensitive .but .nonspecific
increase .in .urine .specific .gravity
decrease .BP- .late .finding=more .than .10% .fluid .loss
How .do .you .treat .dehydration? .- .(correct .answer) .-if .minimal, .mild, .moderate- .oral .rehydration
if .severe .
(drowsy, .cold .extremities, .lethargic,
.sunken/dry .eyes, .very .depressed .anterior .fontanel, .no .tears, .dry .mouth/tongue, .very .decreased .skin
.turgor,
.rapid/sometimes .impalpable .pulse,
.decreased/unrecordable .pulse,
.deep/rapid .respiratory .rate, .markedly .reduced .urine .output) .- .IV .fluids
What .is .emesis? .- .(correct .answer) .-vomiting=symptom
must .distinguish .from .regurgitation .in .infants
integrated .response .to .noxious .stimuli-coordinated .by .CNS
What .is .acute .emesis? .- .(correct .answer) .-short-term
abrupt .onset
What .is .recurrent .emesis? .- .(correct .answer) .-at .least .3 .episodes .over .3 .months
chronic, .relatively .mild .that .occurs .frequently
What .is .cyclic .emesis? .- .(correct .answer) .-
recurrent, .intense .episodes .separated .by .asymptomatic .periods
How .do .you .treat .emesis? .- .(correct .answer) .-NPO .for .1-2 .hrs
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