Neonatal Intensive Care Nurse Exam questions with correct answers

How does idiopathic thrombocytopenia purpura (ITP) or lupus affect the fetus? CORRECT ANWER It produces antibodies against fetal platelets In moms with ITP and resultant production of antibodies against fetal platelets, what can this result in for the fetus? CORRECT ANWER Neonatal alloimmune thrombocytopenia Does the maternal thrombocyte count correlate with the neonates? CORRECT ANWER No In a mom with ITP or lupus, at what point will she be treated for it? CORRECT ANWER When the platelet count is <20,000 or if bleeding occurs In a mom with ITP or lupus, what are the primary risks to the neonate? CORRECT ANWER Intraventricular hemorrhage or visceral hemorrhage In a mom with ITP or lupus, how should the neonate be assessed? (What exams should be done?) CORRECT ANWER Platelet count Head ultrasound if platelet count is <50,000 In a mom with ITP or lupus, what should the medical treatment include? CORRECT ANWER Corticosteroid treatment (to depress immune response and increase platelet count) Platelet transfusion is the platelet count is <25,000 (when stable) and <50,000 (when unstable)