NURS 629 Exam 4 Questions And Answers GRADED A 2024NURS 629 Exam 4 Questions And Answers GRADED A 2024NURS 629 Exam 4 Questions And Answers GRADED A 2024NURS 629 Exam 4 Questions And Answers GRADED A 2024NURS 629 Exam 4 Questions And Answers GRADED A 2024NURS 629 Exam 4 Questions And Answers ...
What is physiological jaundice? - 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? - 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? - 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
, 2
How do you diagnose jaundice? - 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? - Answer - increased intake
indirect sunlight
phototherapy
IV fluids
What are other causes of jaundice? - 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? - 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
, 3
-scaring of the liver, loss of tissue, cirrhosis
-not inherited
What causes biliary atresia? - Answer - -infection after birth (cytomegalovirus or
rotavirus)
-autoimmune disorder
-developmental issue in womb
-exposure to toxic substances
What are symptoms of biliary atresia? - Answer - jaundice
dark urine
light to white stools
poor wt gain and growth
How do you diagnose biliary atresia? - 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? - Answer - surgery (Kasai procedure)
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