Exam (elaborations)
PNP-PC HEM ONC Questions and answers
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- Institution
atic fever symptoms ts regain lost weight after leaving hospital in how many days? newborn reflexes disappear when during first mo of life most likely
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1-53 of 53IDA confirmed by the following:
•CBC:
•RBC: microcytic & hypochromic
•MCV (decreased)
•Ratio of MCV/RBC > 13 (Mentzer Index)
•Serum ferritin (decreased)
•Serum iron (decreased)
•Total Iron binding capacity (increased)
•Iron saturation (decreased)
, Evaluation of Iron‐Deficiency Anemia
-miosis (constriction of pupil),
-ptosis (upper eyelid drooping)
-anhidrosis (no sweat)
-found in neuroblastomas
Horner syndrome is what? found in what disease process?
1.Administer an initial meningococcal vaccine.
The pediatric nurse practitioner provides primary care for a
30‐month‐old child who has sickle cell anemia who has had one
dose of 23‐valent pneumococcal vaccine. Which is an
appropriate action for health maintenance in this child?
1.Administer an initial meningococcal vaccine.
2.Begin folic acid dietary supplementation.
3.Decrease the dose of penicillin V prophylaxis.
4.Give a second dose of 23‐valent pneumococcal vaccine
, •Inherited anemia that affects M/F and can be
mild/severe
•Alpha (silent carrier and no symptoms) or Beta
•Included on the NBS •Most often in Italian, Greek, Middle Eastern, Asian, & African descent
•S/S: •No symptoms if Alpha/silent carrier
•May/may not have S/S w/mild anemia (most often fatigue)
•S/S of severe anemia due to Thalassemia occur the first 2 years of life & include other health i
ssues •Mild (Normal PE)
•Beta thalassemia (Severe): Pale, poor appetite,
dark urine, jaundice, liver, spleen, & heart
enlargement, bone problems (facial), slow growth
•Evaluation: •CBC w/diff
•Iron tests: To r/o IDA •Hemoglobin electrophoresis testing
•Genetic studies
•Management: •Mild: usually needs no treatment, but education &
genetic counseling for family to prevent need for iron
supplements throughout lifespan •Mod/Severe: Referral to Hematologist, regular blood
transfusions, Iron chelation therapy (transfusions can lead to build up of iron), Folic acid for
retic> 3%:B vitamin that helps build healthy RBCs
•Bone marrow/stem cell is only cure
Thalassemia
3. bone marrow biopsy.
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