WGU D119 Pediatric Primary Care Exam Questions and Answers #Verified

1 day old bilirubin 14, direct 0.5? - CORRECT ANSWER-Pathologic Jaundice (12, direct 2, day of life I, fast rate of rise 5/day). Next best test is a Coombs test (+ means Rh or ABO incompatibility; - indicated maternal fetal transfusion, twin/twin trasfusion, IDM, spherocytosis I week old baby with cyanosis when feeding but pinks up when crying? - CORRECT ANSWER-Choanal Atresia - Restricted nasal passages (choana). Associated with CHARGE syndrome (Coloboma, Heart defects, Atresia choanal, Growth retardation, Ear anomalies) 14 day old, bilirubin 12, direct 0.5. Has regained birth weight. - CORRECT ANSWERBreast Milk Jaundice (milk contains glucuronidase and de-conjugates bilirubin) 3 day old with bilirubin 10, direct 0.5, eating/pooping well? - CORRECT ANSWERPhysiologic Jaundice - gone by 5th day of life (immature liver) bilirubin usually doesn't go above 15 5 causes of direct hyperbilirubinemia - CORRECT ANSWER-r/o SEPSIS, galactosemia, hypothyroidism, choledochal cyst, cystic fibrosis 5 minute APGAR score is an indication of: a. how the newborn tolerated labor b. how the mother tolerated labor c. how successful resuscitation efforts were d. how the newborn will do over the next 24 hours e. how the newborn will do over the next 28 days - CORRECT ANSWER-c. Identifies how successful resuscitation efforts were 7 day old with dark urine, pale stool. Bilirubin 12, direct 8, LFT's elevated: - CORRECT ANSWER-Biliary Atresia - can't drain bile, leads to liver failure, requires surgical intervention 7 day old, bilirubin 12, direct 0.5, dry mucous membranes, not gaining weight? CORRECT ANSWER-Breastfeeding Jaundice (or lack of breastfeeding). Baby is dehydrated, can be latching problems or not feeding long or often enough. Age infant can go 6-12 hours without feeding - CORRECT ANSWER-6 Months Age that infant: -rolls from supine to prone -steadily sits for up to 10 minutes -walks holding 1 hand - CORRECT ANSWER-4-6 months 9 months