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Exam (elaborations)

NCC NNP exam part 2

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NCC NNP exam part 2 A+ GURANTEED

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NCC NNP exam part 2 A+ GURANTEED
more neuro and less cardiac/systemic symptoms - - CORRECT ANSWERHow does late onset
sepsis present



staph epi, aureus, MRSA - - CORRECT ANSWERWhat is the most common noscomial cause



Seen in 3-7 day of birth - - CORRECT ANSWEREarly onset sepsis is



in utero- STORCH - - CORRECT ANSWEREarly onset sepsis is acquired



inhibits normal defenses to allow for other infections - - CORRECT ANSWERMeconium is not a
cause of infection but



Erythromycin - - CORRECT ANSWERTreatment for chlamydia



pneumonia - - CORRECT ANSWERwhat can chlamydia cause



intrapartum delivery - - CORRECT ANSWERMost common way for HIV to be acquired



IgM - - CORRECT ANSWERDX of inter uterine infection is detected by



Endotoxin

TNF

Interleuken-1 - - CORRECT ANSWERSeptic triad caused by a mediator



complement cascade and coagulation - - CORRECT ANSWEREndotoxin released from bacterial
cell wall activate

,worseing hypotension

systemic edema

DIC - - CORRECT ANSWEREndotoxins can cause



Liver

alveolar cells - - CORRECT ANSWERWhere is complement proteins produced



antibody/antigen mediated - - CORRECT ANSWERWhat is the classic pathway



endotoxin release - - CORRECT ANSWERWhat is alternative pathway



bradykinin formation and increases hypotension - - CORRECT ANSWERWhat does initiating the
clotting cascade result in



phagocytosis - - CORRECT ANSWERWhat is the most important function of neutrophils



from extension of ear or sinus infections - - CORRECT ANSWERHow can osteomyelitis occur



after endotoxin release - - CORRECT ANSWERWHen do TNF levels rise



clotting cascade

PAF

release of interleukin 1

prostaglandins

free oxygen radicals - - CORRECT ANSWERWhat does TNF stimulate



synergy to TNF

worsens hypotension

induces hyperdynamic cardiovascular function

, causes- fever, leukocytosis, metabolic changes - - CORRECT ANSWERwhat does IL-1 stimulation
cause



hypotension

gi ischemia

alveolar thickening

ATN - - CORRECT ANSWERConsequences to inflammatory mediators



Suprapubic aspiration - - CORRECT ANSWERGold standard of UTI



>0.2 - - CORRECT ANSWERWhat is considered a left shift on I/T



intermediate risk - - CORRECT ANSWERANC of 500-1000 is



increased risk of sepsis - - CORRECT ANSWERANC <500 is



acute phase protein - - CORRECT ANSWERWhat is CRP



within 24 hrs of infection

peak 2-3 days - - CORRECT ANSWERWhen does CRP rise and peak



increased WBC

high protein

low glucose - - CORRECT ANSWERLP results showing meningitis



GBS - - CORRECT ANSWERgram positive cocci in pairs or chains



Entercoccus- nosocomial - - CORRECT ANSWERgram negative, can be in EBM, passed rectal/oral

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Institution
NNP
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NNP

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