NURS 629 Exam 4 Practice QUESTIONS WITH
COMPLETE SOLUTIONS (100 % CORRECT AND
VERIFIED) ALREADY PASSED!!
What is physiological jaundice? - ...(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? - ...(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? - ...(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? - ...(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? - ...(ANSWERS)....increased intake
indirect sunlight
phototherapy
IV fluids
What are other causes of jaundice? - ...(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? - ...(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 are the two types of biliary atresia? - ...(ANSWERS)....fetal- noted in womb
(other defects like heart, spleed, intestines)
, perinatal- appears 2-4 weeks after birth
What causes biliary atresia? - ...(ANSWERS)....-infection after birth
(cytomegalovirus or rotavirus)
-autoimmune disorder
-developmental issue in womb
-exposure to toxic substances
What are symptoms of biliary atresia? - ...(ANSWERS)....jaundice
dark urine
light to white stools
poor wt gain and growth
How do you diagnose biliary atresia? - ...(ANSWERS)....any infant with jaundice
present 2-3 weeks after birth
-direct and indirect serum bilirubin
-LFTs
-abdominal x-ray
-abdominal US
-liver bx
How do you treat biliary atresia? - ...(ANSWERS)....surgery (Kasai procedure)
COMPLETE SOLUTIONS (100 % CORRECT AND
VERIFIED) ALREADY PASSED!!
What is physiological jaundice? - ...(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? - ...(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? - ...(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? - ...(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? - ...(ANSWERS)....increased intake
indirect sunlight
phototherapy
IV fluids
What are other causes of jaundice? - ...(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? - ...(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 are the two types of biliary atresia? - ...(ANSWERS)....fetal- noted in womb
(other defects like heart, spleed, intestines)
, perinatal- appears 2-4 weeks after birth
What causes biliary atresia? - ...(ANSWERS)....-infection after birth
(cytomegalovirus or rotavirus)
-autoimmune disorder
-developmental issue in womb
-exposure to toxic substances
What are symptoms of biliary atresia? - ...(ANSWERS)....jaundice
dark urine
light to white stools
poor wt gain and growth
How do you diagnose biliary atresia? - ...(ANSWERS)....any infant with jaundice
present 2-3 weeks after birth
-direct and indirect serum bilirubin
-LFTs
-abdominal x-ray
-abdominal US
-liver bx
How do you treat biliary atresia? - ...(ANSWERS)....surgery (Kasai procedure)
