Exam 36: Hemolytic Disorders and Congenital Anomalies

As a home care nurse,you are visiting a 5-day-old male infant for a scheduled follow-up appointment to ensure that he is responding to home phototherapy for treatment of jaundice.Based on the diagnosis of hyperbilirubinemia,you are aware that the development of acute bilirubin encephalopathy is a risk for this infant.This disease process occurs after the bilirubin level has peaked.After completing a thorough assessment and obtaining a history from the parents,you recognize that this infant is in the first phase of encephalopathy when he exhibits:

With regard to congenital anomalies of the cardiovascular and respiratory systems,nurses should be aware that:

Research has shown that maternal folic acid deficit has no bearing on failure of the neural tube defects to close.Is this statement true or false?

The priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia is:

____________________ is a condition in which the ventricles of the brain are enlarged as a result of an imbalance between the production and absorption of the cerebrospinal fluid (CSF).An infant with this condition initially has a bulging anterior fontanel and a head circumference that increases at an abnormal rate,resulting from the increase in CSF pressure.

Maternal obesity can increase the risk of congenital heart anomalies.Is this statement true or false?

The most widespread use of postnatal testing for genetic disease is the routine screening of newborns for inborn errors of metabolism (IEM).Which condition is not an IEM?

A major nursing intervention for an infant born with myelomeningocele is to:

An infant diagnosed with erythroblastosis fetalis characteristically exhibits:

When attempting to diagnose and treat developmental dysplasia of the hip (DDH),the nurse should:

The most common cause of pathologic hyperbilirubinemia is:

Cleft lip or palate is a common congenital midline fissure,or opening,in the lip or palate resulting from failure of the primary palate to fuse.Multiple genetic and,to a lesser extent,environmental factors may lead to the development of a cleft lip or palate.Such factors include (choose all that apply):

Which infant is more likely to have Rh incompatibility?