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MVU NURS 629 EXAM 4 WITH
COMPLETE SOLUTION L ATEST
UPDATE(A+ EXAM)
Question :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
Question :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)
Question :What is breastfeeding jaundice?
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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
Question :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
Question :How do you treat jaundice?
Correct answer:increased intake
indirect sunlight
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phototherapy IV fluids
Question :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
Question :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
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-scaring of the liver, loss of tissue, cirrhosis -not inherited
Question :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
Question :What causes biliary atresia?
Correct answer:-infection after birth (cytomegalovirus or
rotavirus) -autoimmune disorder -developmental issue in womb -exposure to toxic substances