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NURS 629 Exam 4 complete questions and verified answers/ get it 100% accurate!!/ update
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NURS 629 Exam 4 complete questions and verified answers/ get it 100% accurate!!/ update
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10/17/24, 1:59 PM NURS 629 Exam 4 complete questions and verified answers/ get it 100% accurate!!/2024-2025 update Flashcards | QuizletNURS 629 Exam 4 complete questions and
verified answers/ get it 100% accurate!!/2024-
2025 update
Terms in this set (133)
-occurs when baby
accumulates bilirubin
What is physiological
-secondary to immature liver in
jaundice?
newborns
-Risk factor is prematurity
serum conjugated bilirubin concentration greater
than 1 mg/dL if the total bilirubin is less than 5.0
What level is conjugated
mg/dL or more than 20% of the total bilirubin if the
hyperbilirubinemia?
the total bilirubin is greater than 5 mg/dL (p. 862
AAP book)
-due to poor intake that causes lack of stools and
urine output
What is breastfeeding -common in first week and resolves once milk
jaundice? comes in and infant is feeding well-more stools and
urinary output
-peaks around 2-3 weeks
-dx with a bili level of 5 mg/dL
-12 mg/dL threshold for all newborns having
jaundiced appearance
How do you diagnose
-direct/indirect bili levels
jaundice?
-CBC
-reticulocyte count
-use of bilitool.org
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,10/17/24, 1:59 PM NURS 629 Exam 4 complete questions and verified answers/ get it 100% accurate!!/2024-2025 update Flashcards | Quizlet
increased intake, longer
feeding
indirect sunlight
How do you treat
phototherapy
jaundice?
IV fluids
Bili lights
Biliblanket
abnormal blood cell shapes (like sickle cell)
Rh incompatibility
What are other causes of cephalohematoma
jaundice? polycythemia (increased RBCs, SGA infants, twins)
infection
specific enzyme disorders
-life-threatening condition
causing a blockage of bile
ducts inside or outside of liver
-leads to build-up of toxins
(like bilirubin)
What is biliary atresia?
-malabsorption of fat-soluble
vitamins A,D,E,K
-scaring of the liver, loss of
tissue, cirrhosis
-not inherited
fetal- noted in womb (other defects like heart,
What are the two types
spleed, intestines)
of biliary atresia?
perinatal- appears 2-4 weeks after birth
-infection after birth (cytomegalovirus or rotavirus)
What causes biliary -autoimmune disorder
atresia? -developmental issue in womb
-exposure to toxic substances
jaundice
What are symptoms of dark urine
biliary atresia? light to white stools
poor wt gain and growth
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, 10/17/24, 1:59 PM NURS 629 Exam 4 complete questions and verified answers/ get it 100% accurate!!/2024-2025 update Flashcards | Quizlet
any infant with jaundice present 2-3 weeks after
birth
-direct and indirect serum bilirubin
How do you diagnose
-LFTs
biliary atresia?
-abdominal x-ray
-abdominal US
-liver bx
-surgery (Kasai procedure), small intestine is
attached directly to the liver to allow bile to flow
How do you treat biliary
into the small intestine bypassing the cystic, hepatic,
atresia?
and common bile duct.
-liver transplant
What are risk factors for GI virus
dehydration? NVD
-sunken fontanels
-tachycardia and decrease cap refill >2-3 seconds
What are s/sx of
-decrease urine output is sensitive but nonspecific
dehydration?
-increase in urine specific gravity
-decrease BP- late finding=more than 10% fluid loss
-if minimal, mild, moderate- oral rehydration
-if severe (drowsy, cold extremities, lethargic,
sunken/dry eyes, very depressed anterior fontanel,
How do you treat no tears, dry mouth/tongue, very decreased skin
dehydration? turgor, rapid/sometimes impalpable pulse,
decreased/unrecordable pulse, deep/rapid
respiratory rate, markedly reduced urine output) -
IV fluids
vomiting=symptom
must distinguish from regurgitation in infants
What is emesis?
integrated response to noxious stimuli-coordinated
by CNS
short-term
What is acute emesis? abrupt onset
episodic
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