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Varneys Midwifery 6th Edition King
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Varneys Midwifery 6th Edition King
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Test Bank For Varneys Midwifery 6th Edition King | 9781284160215 | All Chapters with Answers and Rationals
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Real Test Bank Varney's Midwifery 6th edition by King All Chapters
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Test Bank For Varneys Midwifery 6th Edition King |9781284160215 | All Chapters with Answers and Rationals
Define anemia - ANSWER: Anemia is defined as a decrease in red blood cell mass or decrease in
hemoglobin.
T/F: Most often, anemia remains a "silent" condition unless it is acute or severe. - ANSWER: True
Causes of anemia - ANSWER: Anemia can be caused by decreased red blood cell production, increased
red blood cell destruction, or blood loss,
Diagnosis of anemia in non-pregnant women - ANSWER: Hemoglobin level is less than 12.0 g/dL
(WHO, doesn't apply to all population)
Signs of anemia (9) - ANSWER: 1. Pallor
2. Jaundice
3. Orthostatic hypotension
4. Peripheral edema
5. Pale mucous membranes and nail beds
6. Smooth, sore tongue
7. Splenomegaly
8. Tachypnea, dyspnea on exertion
9. Tachycardia or flow murmur
Symptoms of anemia (9) - ANSWER: 1. Fatigue, drowsiness
2. Weakness
3. Dizziness
4. Headaches
5. Malaise
6. Pica
7. Poor appetite, changes in food preferences
8. Changes in sleep habits
9. Changes in mood
Subclassification of anemia by etiology - ANSWER: Subclassification by etiology refers to anemia
secondary to decreased red blood cell production or increased red blood cell destruction.
Subclassification of anemia by MCV - ANSWER: Anemia can be subclassified as normocytic, microcytic,
or macrocytic depending on the amount and type of hemoglobin present in red blood cells as
reflected in the mean corpuscular volume (MCV).
Subclassification of anemia by the size of the red blood cells with examples - ANSWER: 1. Microcytic
anemias include iron deficiency, the thalassemias, and anemia of inflammation.
2. Macrocytic anemias include folate and vitamin B12 deficiency, as well as anemia associated with
liver disease, increased reticulocyte production, and some medication effects.
3. Normocytic anemias commonly reflect acute blood loss or conditions such as sickle cell disease,
hemoglobin C disease, or glucose-6-phosphate dehydrogenase (G6PD) deficiency.
How is aplastic anemia characterized? - ANSWER: Aplastic anemia is characterized by pancytopenia,
meaning a reduction in the number of red blood cells (RBCs), white blood cells (WBCs), and platelets.
T/F: Aplastic anemia is macrocytic type of anemia - ANSWER: False: normocytic
T/F: The ferritin level is the most sensitive and specific predictor of
iron stores and, therefore, true iron deficiency. - ANSWER: True
, You have a pt with Hg < 12g/dL. What labs you should order and why? - ANSWER: For women with a
hemoglobin value of less than 12.0 g/dL, a laboratory panel including serum folate and ferritin
measurements should be ordered, and a hemoglobin electrophoresis performed.
The most common anemia in the United States - ANSWER: Iron deficiency anemia
The Recommended Daily Intake of iron depending on age and pregnancy - ANSWER: 1. For
reproductive-age women is 15 mg
2. For girls from 14 to 18 years and
3. For women from 19 to 50 years is 18 mg
4. Following menopause, the RDI drops to 8 mg
5. RDI for pregnant women set at 27 mg per day.
The most common causes of iron deficiency in adults - ANSWER: Occult blood loss, excessive
menstrual loss, and inadequate nutritional intake which is more likely among vegetarians.
You have a pt with iron-deficiency anemia and you ruled out nutritional deficiency and identifiable
source of bleeding such as heavy menses. What is your next step to identify the cause of iron
deficiency? - ANSWER: Inquiry about use of aspirin and NSAIDs as well as assessment for
gastrointestinal bleeding is warranted
Diagnosis of iron-deficiency anemia - ANSWER: A ferritin level less than 100-150 ng/mL confirms the
diagnosis of iron-deficiency anemia and renders serum iron and total iron-binding capacity
measurements unnecessary
When consultation is needed with iron-deficiency anemia? - ANSWER: When the hemoglobin
indicates severe anemia (< 9.0 g/dL), consultation is appropriate, even when the
anemia is clearly caused by iron deficiency
First-line treatment of iron-deficiency anemia - ANSWER: First-line treatment is to increase dietary
intake of iron-rich foods, along with consumption of vitamin C-enriched products to enhance
absorption of the heme iron. Nutritional counseling should stress the importance of including iron-
rich foods in the diet—such as green leafy vegetables, collard greens, egg yolks, raisins, prunes, liver,
oysters, and some fortified cereals
—as well as the elimination of picas (e.g., eating ice or laundry starches).
T/F: You diagnosed iron-deficiency anemia and treated your pt with iron supplement. After the
hemoglobin level has returned to normal, you should stop supplementation. - ANSWER: False: After
the hemoglobin level has returned to normal, continued supplementation for 3 months should
adequately replenish iron stores in the body.
Follow-up time and labs with iron-deficiency anemia. What does follow-up visit time depend on? -
ANSWER: While no clear standard for follow-up exists, the CBC and reticulocyte count are generally
repeated 1-3 months following treatment initiation, depending on the severity of the original
deficiency and the age of the woman.
Premenopausal women who are unresponsive to iron therapy and all postmenopausal women with
iron-deficiency anemia should be referred for a consultation with which specialist? (3) - ANSWER: 1. A
gastrointestinal (GI) specialist
2. Women may also require referral to a hematologist for further evaluation and possible treatment
with intravenous iron therapy if they are unable to tolerate or absorb oral iron therapy.
3. In extreme cases, women may need to be referred urgently to the emergency room for immediate
evaluation or blood transfusion if their anemia is severe or symptomatic.
Describe Sickle cell disease - ANSWER: 1. Hb SS
2. Severe illness with sickle cell crisis
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