NNP 2 Final Exam
Phototherapy leads to Movement of Bilirubin from extravascular space to intravascular space
Bilirubin conjugation (direct Creates a fat
bilirubin)
Term, 5-day old presents with Bilirubin encephalopathy
lethargy, hypotonia, and mother
reports he is sleeping through the
night.
Antibodies on infant platelets but Isoimmune thrombocytopenia
not on mom's platelets
Why is a critically ill neonate at Decreased amounts of antithrombin and protein C
increased risk for DIC?
Important factor in determining the Maternal low platelets
cause of thrombocytopenia in an
infant.
Appropriate intervention for an Give FFP **Normal Levels: PT= 10-15, PTT= 30-55, Fibrinogen= 150-
infant with oozing heel sticks, 373mg/dL
petechiae, bloody ET secretions, low
platelets (76), PT 22 PTT 65
, NNP 2 Final Exam
Most common transfusion reaction Volume overload
in neonates
Cryoprecipitate is used to provide Fibrinogen
Term neonate presents with Partial exchange transfusion with normal saline **HCT 65 or >= exchange
plethora, jitteriness, and HCT >65%, transfusion whether infant is symptomatic or not
what is the appropriate action
The following symptoms are UTI
consistent with what: malaise,
irritability, poor weight gain,
dribbling, and malodorous urine
Perinatal history consistent with Polyhydramnios
duodenal atresia
Dehydration is a risk associated with Evaporative losses
omphalocele due to
Term infant with cystic fibrosis Meconium ileus
presents with abdominal distension
and metabolic acidosis, what do you
suspect?
, NNP 2 Final Exam
Term infant comes in for 2 week Ask about breastfeeding techniques and observe her breastfeed
check up and has not returned to
birth weight, listless, poor skin
turgor, and mother reports strictly
breastfeeding. What is your first
action?
Presence of ileocecal valve **ileocecal valve- sphincter that separates
Long-term prognosis with short gut
the small & large intestine; prevents bacteria transfer from large to small
syndrome depends on
bowel
Full term infant failed to pass Contrast enema: Contrast pulls water from the intestinal walls and helps
meconium & has bilious vomiting; make meconium softer
what will both diagnose and treat
meconium plug?
Microbial gut-brain axis has a Reciprocal relationship
Pneumatosis *Bells Stage 1= symptoms of NEC, no xray findings Bells
Radiographic findings consistent
Stage 2= pneumatosis on xray *Bells Stage 3= pneumoperitoneum, free
with Bells Stage 2
air, air in portal circulation
Leading factor for developing NEC Prematurity
Definitive diagnosis of NEC with Pneumatosis
radiographic findings of
What event at birth increases Asphyxia at birth
pathogenesis for NEC
Phototherapy leads to Movement of Bilirubin from extravascular space to intravascular space
Bilirubin conjugation (direct Creates a fat
bilirubin)
Term, 5-day old presents with Bilirubin encephalopathy
lethargy, hypotonia, and mother
reports he is sleeping through the
night.
Antibodies on infant platelets but Isoimmune thrombocytopenia
not on mom's platelets
Why is a critically ill neonate at Decreased amounts of antithrombin and protein C
increased risk for DIC?
Important factor in determining the Maternal low platelets
cause of thrombocytopenia in an
infant.
Appropriate intervention for an Give FFP **Normal Levels: PT= 10-15, PTT= 30-55, Fibrinogen= 150-
infant with oozing heel sticks, 373mg/dL
petechiae, bloody ET secretions, low
platelets (76), PT 22 PTT 65
, NNP 2 Final Exam
Most common transfusion reaction Volume overload
in neonates
Cryoprecipitate is used to provide Fibrinogen
Term neonate presents with Partial exchange transfusion with normal saline **HCT 65 or >= exchange
plethora, jitteriness, and HCT >65%, transfusion whether infant is symptomatic or not
what is the appropriate action
The following symptoms are UTI
consistent with what: malaise,
irritability, poor weight gain,
dribbling, and malodorous urine
Perinatal history consistent with Polyhydramnios
duodenal atresia
Dehydration is a risk associated with Evaporative losses
omphalocele due to
Term infant with cystic fibrosis Meconium ileus
presents with abdominal distension
and metabolic acidosis, what do you
suspect?
, NNP 2 Final Exam
Term infant comes in for 2 week Ask about breastfeeding techniques and observe her breastfeed
check up and has not returned to
birth weight, listless, poor skin
turgor, and mother reports strictly
breastfeeding. What is your first
action?
Presence of ileocecal valve **ileocecal valve- sphincter that separates
Long-term prognosis with short gut
the small & large intestine; prevents bacteria transfer from large to small
syndrome depends on
bowel
Full term infant failed to pass Contrast enema: Contrast pulls water from the intestinal walls and helps
meconium & has bilious vomiting; make meconium softer
what will both diagnose and treat
meconium plug?
Microbial gut-brain axis has a Reciprocal relationship
Pneumatosis *Bells Stage 1= symptoms of NEC, no xray findings Bells
Radiographic findings consistent
Stage 2= pneumatosis on xray *Bells Stage 3= pneumoperitoneum, free
with Bells Stage 2
air, air in portal circulation
Leading factor for developing NEC Prematurity
Definitive diagnosis of NEC with Pneumatosis
radiographic findings of
What event at birth increases Asphyxia at birth
pathogenesis for NEC
