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Book 3 Unit 7
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
In an otherwise healthy baby, which of the following bilirubin levels would be of most immediate concern to you?
A. Bilirubin level of 12 mg/dl at 30 hours of age in a full-term baby
B. Bilirubin level of 8 mg/dl at 2 weeks of age in a breastfeeding baby
C. Bilirubin level of 9 mg/dl at 10 hours of age in a full-term baby
D. Bilirubin level of 17 mg/dl in a 3-day-old breastfeeding baby
For which of the following babies would you expect the binding capacity of serum protein for bilirubin to be least affected?
A. A baby receiving ceftriaxone
B. A baby who had a 5-minute Apgar score of 3
C. A baby with an infection
D. A baby with hypertension
When a baby is jaun diced, which of the following actions is the first you should take?
A. Begin phototherapy.
B. Obtain blood samples for laboratory tests .
C. Restrict feedings.
D. Perform exchange transfusion .
Visible jaundice appearing within 24 hours of birth is usually
A. Physiological
B. Caused by human (breast) milk
C. Caused by bilirubin levels outside of reference range
Newborns are more likely than adults to have hyperbilirubinemia because
A. They have decreased removal of bilirubin by the liver.
B. Their diet consists of only breast milk or formula.
C. They have fewer red blood cells.
D. They have decreased reabsorption of bilirubin in the intestines.
The bilirubin of babies with very low Apgar scores may be dangerous at bilirubin level than for a baby with high Apgar scores.
A. a lower
B. the same
C. a higher
All of the following complications are possible results of phototherapy, except
A. Increased number of stools
B. Anemia
C. Obstructed nasal breathing
D. Hyperthermia
All of the following laboratory tests are routine in the investigation of hyperbilirubine mia, except
A. Platelet count
B. Coombs (antiglobulin) test
C. Hematocrit value
D. Blood smear
Which of the following babies should receive intravenous (IV) therapy?
Which of the following babies should receive intravenous (IV) therapy?
Yes
No
Cover the baby's eyes only for the first 8 hours of phototherapy.
Discontinue phototherapy immediately if a rash appears.
Completely undress the baby down to the diaper.
Restrict the baby's fluid intake.
Restrict the baby's feedings.
All jaundiced babies should receive phototherapy
True
False
Jaundice associated with breastfeeding is seen only during the first 3 days after birth.
True
False
Sepsis increases the risk from hyperbilirubinemia
True
False
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