NURS 629 EXAM 4 (GU, GI, psych, neuro, msk, endocrine) 2025 | ALL QU
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
1. What is physiological jaun- -occurs when baby accumulates bilirubin
dice? -secondary to immature liver in newborns
-common first 2-4 days of life and resolves by 2 weeks
2. What level is conjugated hy- serum conjugated bilirubin concentration greater than 1 mg/dL
perbilirubinemia? 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)
3. What is breastfeeding jaun- -due to poor intake that causes lack of stools and urine output
dice? -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
4. How do you diagnose jaun- -dx with a bili level of 5 mg/dL
dice? -12 mg/dL threshold for all newborns having jaundiced appear-
ance
-direct/indirect bili levels
-CBC
-reticulocyte count
5. How do you treat jaundice? increased intake
indirect sunlight
phototherapy
IV fluids
6. What are other causes of abnormal blood cell shapes (like sickle cell)
jaundice? Rh incompatibility
cephalohematoma
polycythemia (increased RBCs, SGA infants, twins)
, NURS 629 EXAM 4 (GU, GI, psych, neuro, msk, endocrine) 2025 | ALL QU
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
infection
specific enzyme disorders
7. What is biliary atresia? -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
8. What causes biliary atresia? -infection after birth (cytomegalovirus or rotavirus)
-autoimmune disorder
-developmental issue in womb
-exposure to toxic substances
9. What are symptoms of bil- jaundice
iary atresia? dark urine
light to white stools
poor wt gain and growth
10. How do you diagnose biliary any infant with jaundice present 2-3 weeks after birth
atresia? -direct and indirect serum bilirubin
-LFTs
-abdominal x-ray
-abdominal US
-liver bx
11. How do you treat biliary surgery (Kasai procedure)
atresia? liver transplant
12.
, NURS 629 EXAM 4 (GU, GI, psych, neuro, msk, endocrine) 2025 | ALL QU
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
What are risk factors for de- GI virus
hydration? vomiting/diarrhea
13. What are s/sx of dehydra- sunken anterior fontanel
tion? tachycardia and decrease cap refill
decrease urine output is sensitive but nonspecific
increase in urine specific gravity
decrease BP- late finding=more than 10% fluid loss
14. How do you treat dehydra- if minimal, mild, moderate- oral rehydration
tion? if severe (drowsy, cold extremities, lethargic, sunken/dry eyes,
very depressed anterior fontanel, no tears, dry mouth/tongue,
very decreased skin turgor, rapid/sometimes impalpable pulse,
decreased/unrecordable pulse, deep/rapid respiratory rate,
markedly reduced urine output) - IV fluids
15. What is emesis? vomiting=symptom
must distinguish from regurgitation in infants
integrated response to noxious stimuli-coordinated by CNS
16. What is acute emesis? short-term
abrupt onset
17. What is recurrent emesis? at least 3 episodes over 3 months
chronic, relatively mild that occurs frequently
18. What is cyclic emesis? recurrent, intense episodes separated by asymptomatic periods
19. How do you treat emesis? NPO for 1-2 hrs
**rehydrate with small/frequent amounts of clear liquids
avoid dairy and solids for 4-6 hrs and then add bland foods slowly
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
1. What is physiological jaun- -occurs when baby accumulates bilirubin
dice? -secondary to immature liver in newborns
-common first 2-4 days of life and resolves by 2 weeks
2. What level is conjugated hy- serum conjugated bilirubin concentration greater than 1 mg/dL
perbilirubinemia? 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)
3. What is breastfeeding jaun- -due to poor intake that causes lack of stools and urine output
dice? -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
4. How do you diagnose jaun- -dx with a bili level of 5 mg/dL
dice? -12 mg/dL threshold for all newborns having jaundiced appear-
ance
-direct/indirect bili levels
-CBC
-reticulocyte count
5. How do you treat jaundice? increased intake
indirect sunlight
phototherapy
IV fluids
6. What are other causes of abnormal blood cell shapes (like sickle cell)
jaundice? Rh incompatibility
cephalohematoma
polycythemia (increased RBCs, SGA infants, twins)
, NURS 629 EXAM 4 (GU, GI, psych, neuro, msk, endocrine) 2025 | ALL QU
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
infection
specific enzyme disorders
7. What is biliary atresia? -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
8. What causes biliary atresia? -infection after birth (cytomegalovirus or rotavirus)
-autoimmune disorder
-developmental issue in womb
-exposure to toxic substances
9. What are symptoms of bil- jaundice
iary atresia? dark urine
light to white stools
poor wt gain and growth
10. How do you diagnose biliary any infant with jaundice present 2-3 weeks after birth
atresia? -direct and indirect serum bilirubin
-LFTs
-abdominal x-ray
-abdominal US
-liver bx
11. How do you treat biliary surgery (Kasai procedure)
atresia? liver transplant
12.
, NURS 629 EXAM 4 (GU, GI, psych, neuro, msk, endocrine) 2025 | ALL QU
TIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LAT
VERSION | BRAND NEW VERSION!
Study online at https://quizlet.com/_h8o3cx
What are risk factors for de- GI virus
hydration? vomiting/diarrhea
13. What are s/sx of dehydra- sunken anterior fontanel
tion? tachycardia and decrease cap refill
decrease urine output is sensitive but nonspecific
increase in urine specific gravity
decrease BP- late finding=more than 10% fluid loss
14. How do you treat dehydra- if minimal, mild, moderate- oral rehydration
tion? if severe (drowsy, cold extremities, lethargic, sunken/dry eyes,
very depressed anterior fontanel, no tears, dry mouth/tongue,
very decreased skin turgor, rapid/sometimes impalpable pulse,
decreased/unrecordable pulse, deep/rapid respiratory rate,
markedly reduced urine output) - IV fluids
15. What is emesis? vomiting=symptom
must distinguish from regurgitation in infants
integrated response to noxious stimuli-coordinated by CNS
16. What is acute emesis? short-term
abrupt onset
17. What is recurrent emesis? at least 3 episodes over 3 months
chronic, relatively mild that occurs frequently
18. What is cyclic emesis? recurrent, intense episodes separated by asymptomatic periods
19. How do you treat emesis? NPO for 1-2 hrs
**rehydrate with small/frequent amounts of clear liquids
avoid dairy and solids for 4-6 hrs and then add bland foods slowly
