NURS 653 Exam 2 Maryville University 2023-2024 Version with All Questions from Past Exam and 100% Correct Answers
Baseline management of all neonates with ABO incompatibility includes:
- phototherapy
- Monitoring of Bilirubin and Hgb
- Exchange transfusions
- PRBC transfusion ------- Correct Answer --------- Serial monitoring of Hgb and
Bilirubin
Which of the following is not associated with Rh incompatibility?
- mom rh -, baby rh +
- mom +, baby -
- more severe in subsequent sensitized pregnancies
- Hemolysis may occur up to 6 weeks or more ------- Correct Answer --------- Mom is
not +, baby- its vice versa
Clinical jaundice of the distal extremities would be noted at a bill level of what ? ------- Correct Answer --------- 15 or greater
- jaundice proceeds in a progressive way starting at the head moving down, to chest
and abd. Only seen in extremities if greater than 15.
Beta chain synthesis is absent in what type of BT? ------- Correct Answer --------- Beta thalassemia MAJOR
Which of the following is most often associated with HgB C?growth retardation, asymptomatic, hepatosplenomegaly or frontal bossing. ------- Correct Answer --------- Asymptomatic
This is a minor hemoglobinopathy that is usually picked up as an incidental finding on Hgb electrophoresis
Diagnostic findings inconsistent with beta thalassemia would be :
- normal Hgb
- increased Retic
- Hgb A2=3.6
- microcytic, hypo chromic ------- Correct Answer --------- A. Normal Hgb
Hgb is usually decreased in pt with beta thalassemia
Asplenic children are at increased risk for which of the following:
bacteria? Fungus? Viral infxns? or parasites? ------- Correct Answer --------- Bacterial infections 1 / 2
which of the following is not considered preventative for iron deficiency anemia ?
- iron fortified cereal from 6-12 months of age
- No cow's mild until 1 year of age
- If breastfeeding supplement with iron drops or iron fortified cereal at age 4-5 months
B.iron fortified formula until 6 months of age
------- Correct Answer --------- B. Iron fortified formula until age 6 months
If not breastfeeding iron fortified formula is recommended until age 12 months
The expected clinical severity of hemoglobin sickle C disease (Hgb SC) is ------- Correct Answer --------- Mild to moderate
Sickle cell C is a Midler form of the disease
The expected clinical range for sickle cell anemia is ? ------- Correct Answer --------- 6.5- 9.5 with clinical symptoms
sickle cell C has a high Hgb or and trait has normal Hgb
prophylactic penicillin should be initiated in children with sickle cell anemia by ------- Correct Answer --------- 2-3 months of age this is critical due to risk of life threatening infections and not all vaccines yet.
Which blood level is not considered lead poisoning ?10 10-14 >15 25 ------- Correct Answer --------- 10.Levels much be greater than 10 to diagnose lead poisoning.
Which of the following is not a precipitating factor for hemolysis in G6PD deficiency ?
Drugs, fava beans, extreme temps or infection ------- Correct Answer --------- extreme temps do not cause hemolysis in G6Pd
What type of hemorrhage would be most expected in a patient with severe Factor VIII deficiency? ------- Correct Answer --------- Spontaneous hemorrhage or hemarthrosis occur in untreated severe disease
A newly circumcised infant is still bleeding an hour after the circumcision. Your
differential diagnosis would include all except:
- Hemophilia
- Sickle cell anemia
- Von Willebrand disease
- Wiskott-Aldrich syndrome ------- Correct Answer --------- Sickle cell anemia
- / 2