#3 Respiratory Distress

Question 1

Physiologic jaundice is clinically ID after _____ hrs and peaks in _______ days

Answer 1

24hrs

3-5 days

Question 2

Physiologic jaundice typically gradually resolves by day _____

Answer 2

day 10

Question 3

any serum bilirubin level that exceeds _________ is a medical emergency

Answer 3

425 mmol/L (25 mg/dl)

Question 4

A full eval for Neonatal jaundice includes:

Answer 4

1- Direct Coombs
2- Serum bilirubin
3- Maternal and infant ABO and Rh typing

Question 5

What are clinical signs of bilirubin encephalopathy to watch of for in pathologic hyperbilirubinemia? (5)

Answer 5

1-lethargy
2-poor feeding
3-SZ
4-high pitched cry
5-opisthotonus

Question 6

What would prompt an urgent exchange transfusion in pathologic hyperbilirubinemia?

Answer 6

a rapid rise in serum unconjugated bilirubin (active hemolysis)

Question 7

Exaggerated bilirubin levels occur with: (5)

Answer 7

breastfeeding
bruising
cephalohematoma
polycythemia
prematurity

Question 8

Full term infants usually have peak serum bilirubin levels of __________ between days __________

Answer 8

5-6 mg/dL

2nd and 4th day of life