NM705 MODULE 5 FINAL EXAM DAY 1-7, WEEKS 2-6 ACTUAL QUESTIONS WITH VERIFIED CORRECT ANSWERS

NM705 MODULE 5 FINAL EXAM DAY 1-7, WEEKS 2-6 ACTUAL QUESTIONS WITH VERIFIED CORRECT ANSWERS What is weight loss? Results from the imbalance between energy input and energy output What is brown fat? Used in non-shivering theromgenesis and is a non-renewable energy source that decreases with age When does maximum weight loss occur? day 2-3 When do NB begin to gain weight? day 4 What does physiologic anemia result from? baby's body growing faster than RBC production and is common at 4-6 months of age When should the metabolic/PKU be done? after 24 hours of successful feedings What are the two available tests for the hearing screen? OAE (otoacustic emssions) ABR (auditory brain stem) Positive hearing screens should be repeated within a few days but at the latest 3 weeks Early treatment for hearing loss should begin by 3 months of age When should the CHD screen be done? after 24 hours, preferably before discharge What physical innate immunity does a NB have? skin, nasal hair, eyelashes, eyelids, mucous membranes, mucocilliary clearance, urination What chemical innate immunity does a NB have? low pH of the skin, gastric acid, vagina, antimicrobials (IgA), sebum, mucous What biological innate immunity does a NB have? microbiome of the newborns gut colonization When does adaptive immunity begin to fumnction? 96 hours to 1 week of age What WBC is normal at birth? 9,000-30,000 What WBC is normal at 1 week of age? 5,000-21,000 What is colostrum low in? fat and sugar compared to mature milk and vitamin D When does transitional milk begin? How long does it last? 3-6 days until day 10-15 What are the causes of physiological jaundice? decreased RBC lifespan, increased destruction of RBCs, delayed passage of meconium, immature liver What are the resutls of physiological jaundice in the NB? increased bilirubin production, increased recirculation via enterohepatic shunting, decreased clearance of bilirubin What TSB level is considered hyperbilirubinemia? 7 What is the onset of physiological jaundice? after 36 hours What is the onset of early onset breastfeeding jaundice? the first 2-4 days What is the onset of late onset breastfeeding jaundice? within the first 4-7 days but up to the first 2 weeks What is the onset of pathological jaundice? within the first 24 hours What is the usual peak of physiological jaundice? 3-4 days for formula fed and 5-7 days for breastfed What is the usual peak of early onset breastfeeding jaundice? 3-6 days What is the usual peak of late onset breastfeeding jaundice? 5-15 days What is the peak serum total bili for physiologi