Chapter 13 Flashcards
Site recommended to collect capillary blood gases on a newborn
Lateral posterior area of the heel
The specimen of choice for testing the pH, pO2, and pCO2 of the blood
Arterial blood
EMLA, sometimes used for pediatric venipuncture procedures, is a:
Topical anesthetic applies to the child’s arm before venipuncture
The best location for performing venipuncture on a hospitalized 7 year old is
In a treatment room
The optimal depth of a fingerstick in a child is:
Less than 2.0 mm
Physical frailties that may affect elderly individuals include
All of the above
Specimen collection in a patients home may involve unusual positioning of the patient. What is the preferred position or location from which to collect a blood specimen from a home bound patient
In a comfortable, reclining position
Transportation requirements for specimens collected from home bound patients include
All of the above
An acceptable alternative to hand washing prior to phlebotomy procedures
Foam or cream disinfectants
A debilitating disease causing tremors, particularly in elderly individuals
Parkinson’s disease
An emotional factor associated with the aging process
Depression
A complication that can result from multiple deep heel sticks on an infant
Osteomyelitis
A commonly inherited disease that is detectable through a newborn screening process in neonates
Sickle cell disease
The angle of needle for scalp vein venipuncture of an infant should be:
15 degrees
After the blood collected from a heel stick is placed on the neonatal screening card, the card must dry in a horizontal position for a minimum of:
4 hours
When a skin puncture is performed on an infant, which of the following specimens is collected first
Hematology specimens
Needed for blood collection by skin puncture on an infant
Puncture-resistant sharps container
Blood spot testing for neonatal screening disorders should be performed before the newborn is:
72 hours old
An acceptable intervention to alleviate pain during venipuncture on a 5 year old child
EMLA
Preferred site for a heel stick
Medial or lateral section of the heel
Disorders that can be detected through neonatal screening
Cystic fibrosis
Equipment necessary for newborn screening blood collection
Disposable gloves
Gauge sizes that should be used for the infant scalp venipuncture
23 gauge
What is true of congenital hypothyroidism
Screen for through the neonatal screening blood collection procedure
Cystic fibrosis is detected by the capillary blood gas test.
False
A minute metal filing and magnet are necessary for the capillary blood has procedure.
True
EMLA is a topical anesthetic used after venipuncture in children
False
Sucrose is effective in reducing pain and crying time during a blood collection procedure for an infant.
True
The EMLA application provides anesthesia for 45 minutes to 3 hours
True
A 10mL blood sample collected from a newborn is equivalent to 5 to 10 percent of the infants total blood volume
True
An incision for a heel stick on an infant should not go deeper than 3.0mm
False
A physical problem common in elderly individuals is loss of feeling
True
The central area of the infants heel is the best site for a heel stick blood collection
False
For children older than _____ year, a finger stick is appropriate for blood collection.
One
If an incision for a heel stick goes deeper than ______ mm in a newborn, it can lead to osteomyelitis
2.0
_________ blood is the specimen of choice for blood gas testing
Arterial
A common interference in newborn screening collections occurs when blood specimens are not dried for ______ hours before mailing
Four
Children with spina bifida are particularly sensitive to ______
Latex
Use of a ______ over a skin puncture site is not recommended for children less than 2 years old
Bandage
In the hospital, it is best to perform a blood collection procedure on a child in a ______ room
Treatment
The horizontal position to immobilize a child is also referred to as the ______ position
Supine
Eutectic mixture of local anesthetic is also called ______
EMLA
For the newborn screening blood collection procedure, only ______ side of the filter paper should be used
One
