NURS 629 Exam VERIFIED 100% SOLUTIONS

NURS 629 Exam VERIFIED 100% SOLUTIONS What are the two types of biliary atresia? fetal- noted in womb (other defects like heart, spleed, intestines) perinatal- appears 2-4 weeks after birth What is hypospadias? Hypospadias is a birth defect in boys in which the opening of the urethra is not located at the tip of the penis. What are the Clinical signs of premature adrenarche Premature adrenarche (PA) refers to the presentation of androgenic signs - appearance of pubic and axillary hair, adult-type body odor, oily hair, acne or come dones - before the age of 8 years in girls or 9 years in boys in the absence of central puberty What is physiological jaundice? -occurs when baby accumulates bilirubin -secondary to immature liver in newborns -common first 2-4 days of life and resolves by 2 weeks What does a positive coomb's test in a pregnant mother mean may lead to physiological jaundice in child she developed antibodies IgG and may lead to hemolytic disease in newborn What level is conjugated hyperbilirubinemia? 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? -due to poor intake that causes lack of stools and urine output -common in the first week and resolves once milk comes in and the infant is feeding well-more stools and urinary output -peaks around 2-3 weeks How do you diagnose jaundice? -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? increased intake indirect sunlight phototherapy IV fluids What are other causes of jaundice? abnormal blood cell shapes (like sickle cell) Rh incompatibility cephalohematoma polycythemia (increased RBCs, SGA infants, twins) infection specific enzyme disorders What is biliary atresia? -life-threatening condition causing a blockage of bile ducts inside or outside of the liver -leads to a build-up of toxins (like bilirubin) -malabsorption of fat-soluble vitamins A,D,E,K -scaring of the liver, loss of tissue, cirrhosis