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hyperbilirubinemia
hyperbilitubinrmis
| Question | Answer |
|---|---|
| A side effect of indomethacin for the neonate is _____________ | hyperbilirubinemia |
| Elevated unconjugated bilirubenia results in | Jaundice |
| Physiologic jaundice occurs _______ | 24 hours or more after birth |
| cord blood from new born usually does not exceed ______bilirubin unless Rh sensitization has occurred. | not to exceed 5mg/dl (normal is 2mg/dl or less) |
| Name two maternal conditions that are an indication to observe new born for jaundice | 1) maternal is Rh - 2) Maternal is type O |
| untreated hyperbilirubinemia can result in _______________ | the classic acute bilirubin encephalopathy of kernicterus |
| Hyperbilirubinemia is treated with | phototheraphy and exchange transfusions. |
| The ethnic group with the highest rate of new born jaundice is ____________ | East Asian ( Japanese, Chinese, Filipino) |
| True or False - Jaundice appearing before 24 hours is expected | False this is pathologic jaundice. It should appear after 24 hours. |
| True or false Serum bilirubin should not rise by more than 0.2 mg/dl per hour | True |
| Neonates needs investigating if the total serum concentration of bilirubin is greater than 95% | True |
| It is normal for jaundice to last 2 weeks or more | False ( it usually occurs 48 s/p birth, peaks at 5-7 days then is over by day 10. |
| ___________test is performed to determine if jaundice is due to Rh or ABO incompatibility | Coombs' |
| When the nurse is is doing a TcB (Transcutaneous bilirubin) she should test which area: 1) forehead 2) Sternum | 2) Sternum - it is less likely to be affected by ambient light. |
| Name three risk factors for hyperbilirubinemia at lower bilirubin levels. | 1.Acidosis, 2.Hypoxia, 3.Hypotermia |
| Should Amniotic fluid be amber in color? | No , Amber-colored amniotic fluid indicates hyperbilirubemia. |
| Phototheraphy puts the infant at risk for ___________. | Fluid Volume deficit. Dehydration. |
| While undergoing phototheraphy the jaundice in the area around the babies eyes is disappearing the nurse knows: 1. phoththeraphy is working. 2) Jaundice disappears from the face 1st. 3) The eye-patches are allowing light in and need to be readjusted. | 3) The eye-patches are allowing light in and need to be readjusted. |
Created by:
CCBCMDNursing218
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