hyperbilitubinrmis
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each of the black spaces below before clicking
on it to display the answer.
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| A side effect of indomethacin for the neonate is _____________ | hyperbilirubinemia
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| Elevated unconjugated bilirubenia results in | Jaundice
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| Physiologic jaundice occurs _______ | 24 hours or more after birth
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| 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)
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| Name two maternal conditions that are an indication to observe new born for jaundice | 1) maternal is Rh -
2) Maternal is type O
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| untreated hyperbilirubinemia can result in _______________ | the classic acute bilirubin encephalopathy of kernicterus
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| Hyperbilirubinemia is treated with | phototheraphy and exchange transfusions.
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| The ethnic group with the highest rate of new born jaundice is ____________ | East Asian ( Japanese, Chinese, Filipino)
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| True or False - Jaundice appearing before 24 hours is expected | False this is pathologic jaundice. It should appear after 24 hours.
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| True or false Serum bilirubin should not rise by more than 0.2 mg/dl per hour | True
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| Neonates needs investigating if the total serum concentration of bilirubin is greater than 95% | True
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| 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.
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| ___________test is performed to determine if jaundice is due to Rh or ABO incompatibility | Coombs'
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| 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.
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| Name three risk factors for hyperbilirubinemia at lower bilirubin levels. | 1.Acidosis, 2.Hypoxia, 3.Hypotermia
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| Should Amniotic fluid be amber in color? | No , Amber-colored amniotic fluid indicates hyperbilirubemia.
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| Phototheraphy puts the infant at risk for ___________. | Fluid Volume deficit. Dehydration.
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| 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.
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