NARM Exam – Questions With Proven Solutions
Women who _________ tend to have more hot flashes? ✔️Ans -smoke
Women who smoke tend to have _______? ✔️Ans -higher risk for severe
vasomotor symptoms
Women smokers have ✔️Ans -lower bone mass, loose bone more quickly &
have signs of higher fracture risk.
Who tends to have a higher HgB & HCT? ✔️Ans -smokers
Why do smokers have a higher HgB & HCT? ✔️Ans -their bodies adapt to
maintain adequate oxygenation
Prenatal smoking is associated with what? ✔️Ans -fetal growth restriction,
LBW, SIDS, asthma and other long term affects in the child.
What are the 5 A's for smokers? ✔️Ans -Ask, Advise, Assess, Assist &
Arrange
What is the smoking cutoff point for Hemoglobin and Hematocrit? ✔️Ans -
+0.3, +1.0
When does physiologic jaundice usually become appparent? ✔️Ans -days 2
to 4
Which type of jaundice rises slowly and peaks at day 3 or 4 of life? ✔️Ans -
Physiologic jaundice
When is Hyperbilirubinemia usually visible? Does it rise slow or quick?
✔️Ans -during first 24 hours after birth, rises quickly
Newborns at risk for __________ include those who have hemolytic process such
as an ABO blood-type incompatibility, accelerate RBC break down from a large
cephalohematoma. ✔️Ans -Hyperbilirubinemia
, Other risk factors for Hyperbilirubinemia are? ✔️Ans -inherited RBC
membrane defects, enzyme defects, NB sepsis & NB born to women with
diabetes.
When does breast milk failure jaundice appear? ✔️Ans -In first week after
birth
Breast milk jaundice that persists beyond the first week of life and slowly
declines between ___ and ___ weeks of life? ✔️Ans -3 and 12
Which jaundice needs to be monitored but rarely needs to be treated?
✔️Ans -Breast milk jaundice
It appears that some women have a substance in their breast milk that
_________ reabsorption of _________ from the neonate's intestine. ✔️Ans -
stimulates, bilirubin
What is secondary to exclusive breastfeeding but inadequate intake? ✔️Ans
-Breastfeeding failure jaundice
Breastfeeding failure jaundice is not the result of breast milk, it is the result of
too little _______ and _________. ✔️Ans -fluid, dehydration
According to Heart and Hands which type of jaundice are the majority of
cases? ✔️Ans -physiologic
A significant factor in increased physiologic jaundice is ________? ✔️Ans -
altitude
Babies at ten thousand feet elevation are ________ times more likely to have
excess bilirubin than infants at _____? ✔️Ans -4, sea level
What type of jaundice can be caused by liver disease, an obstructed bile duct,
infection, or RH hemolytic disease? ✔️Ans -Pathological jaundice
High levels of bilirubin may be nearly impossible for the baby to eliminate and
may seep into the basal ganglia of the brain, which leads to ________ or
permanent brain damage. ✔️Ans -kernicterus
Women who _________ tend to have more hot flashes? ✔️Ans -smoke
Women who smoke tend to have _______? ✔️Ans -higher risk for severe
vasomotor symptoms
Women smokers have ✔️Ans -lower bone mass, loose bone more quickly &
have signs of higher fracture risk.
Who tends to have a higher HgB & HCT? ✔️Ans -smokers
Why do smokers have a higher HgB & HCT? ✔️Ans -their bodies adapt to
maintain adequate oxygenation
Prenatal smoking is associated with what? ✔️Ans -fetal growth restriction,
LBW, SIDS, asthma and other long term affects in the child.
What are the 5 A's for smokers? ✔️Ans -Ask, Advise, Assess, Assist &
Arrange
What is the smoking cutoff point for Hemoglobin and Hematocrit? ✔️Ans -
+0.3, +1.0
When does physiologic jaundice usually become appparent? ✔️Ans -days 2
to 4
Which type of jaundice rises slowly and peaks at day 3 or 4 of life? ✔️Ans -
Physiologic jaundice
When is Hyperbilirubinemia usually visible? Does it rise slow or quick?
✔️Ans -during first 24 hours after birth, rises quickly
Newborns at risk for __________ include those who have hemolytic process such
as an ABO blood-type incompatibility, accelerate RBC break down from a large
cephalohematoma. ✔️Ans -Hyperbilirubinemia
, Other risk factors for Hyperbilirubinemia are? ✔️Ans -inherited RBC
membrane defects, enzyme defects, NB sepsis & NB born to women with
diabetes.
When does breast milk failure jaundice appear? ✔️Ans -In first week after
birth
Breast milk jaundice that persists beyond the first week of life and slowly
declines between ___ and ___ weeks of life? ✔️Ans -3 and 12
Which jaundice needs to be monitored but rarely needs to be treated?
✔️Ans -Breast milk jaundice
It appears that some women have a substance in their breast milk that
_________ reabsorption of _________ from the neonate's intestine. ✔️Ans -
stimulates, bilirubin
What is secondary to exclusive breastfeeding but inadequate intake? ✔️Ans
-Breastfeeding failure jaundice
Breastfeeding failure jaundice is not the result of breast milk, it is the result of
too little _______ and _________. ✔️Ans -fluid, dehydration
According to Heart and Hands which type of jaundice are the majority of
cases? ✔️Ans -physiologic
A significant factor in increased physiologic jaundice is ________? ✔️Ans -
altitude
Babies at ten thousand feet elevation are ________ times more likely to have
excess bilirubin than infants at _____? ✔️Ans -4, sea level
What type of jaundice can be caused by liver disease, an obstructed bile duct,
infection, or RH hemolytic disease? ✔️Ans -Pathological jaundice
High levels of bilirubin may be nearly impossible for the baby to eliminate and
may seep into the basal ganglia of the brain, which leads to ________ or
permanent brain damage. ✔️Ans -kernicterus
