Nurs 653 Exam 2 Mc (Mvu)

Baseline management of all neonates with ABO incompatibility includes: A. phototherapy B. Monitoring of Bilirubin and Hgb C. Exchange transfusions D. PRBC transfusion - Answer- Serial monitoring of Hgb and Bilirubin Which of the following is not associated with Rh incompatibility? A. mom rh -, baby rh + B. mom +, baby - C. more severe in subsequent sensitized pregnancies D. Hemolysis may occur up to 6 weeks or more - Answer- Mom is not +, baby- its vice versa Clinical jaundice of the distal extremities would be noted at a bill level of what ? - Answer- 15 or greater - jaundice proceeds in a progressive way starting at the head moving down, to chest and abd. Only seen in extremities if greater than 15. Beta chain synthesis is absent in what type of BT? - Answer- Beta thalassemia MAJOR Which of the following is most often associated with HgB C? growth retardation, asymptomatic, hepatosplenomegaly or frontal bossing. - Answer- Asymptomatic This is a minor hemoglobinopathy that is usually picked up as an incidental finding on Hgb electrophoresis Diagnostic findings inconsistent with beta thalassemia would be : A. normal Hgb B. increased Retic C. Hgb A2=3.6 D. microcytic, hypo chromic - Answer- A. Normal Hgb Hgb is usually decreased in pt with beta thalassemia Asplenic children are at increased risk for which of the following: bacteria? Fungus? Viral infxns? or parasites? - Answer- Bacterial infections which of the following is not considered preventative for iron deficiency anemia ? A. iron fortified cereal from 6-12 months of age B.iron fortified formula until 6 months of age C. No