MVU NURS 629 EXAM 4 WITH CORRECT ANSWERS LATEST UPDATE

What is physiological jaundice? correct answers -occurs when baby accumulates bilirubin -secondary to immature liver in newborns -common first 2-4 days of life and resolves by 2 weeks What level is conjugated hyperbilirubinemia? correct answers 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? correct answers -due to poor intake that causes lack of stools and urine output -common in first week and resolves once milk comes in and infant is feeding well-more stools and urinary output -peaks around 2-3 weeks How do you diagnose jaundice? correct answers -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? correct answers increased intake indirect sunlight phototherapy IV fluids What are other causes of jaundice? correct answers abnormal blood cell shapes (like sickle cell) Rh incompatibility cephalohematoma polycythemia (increased RBCs, SGA infants, twins) infection specific enzyme disorders What is biliary atresia? correct answers -life-threatening condition causing a blockage of bile ducts inside or outside of liver -leads to build-up of toxins (like bilirubin) -malabsorption of fat-soluble vitamins A,D,E,K -scaring of the liver, loss of tissue, cirrhosis -not inherited What causes biliary atresia? correct answers -infection after birth (cytomegalovirus or rotavirus)