Chapter 13 Flashcards

1
Q

Site recommended to collect capillary blood gases on a newborn

A

Lateral posterior area of the heel

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2
Q

The specimen of choice for testing the pH, pO2, and pCO2 of the blood

A

Arterial blood

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3
Q

EMLA, sometimes used for pediatric venipuncture procedures, is a:

A

Topical anesthetic applies to the child’s arm before venipuncture

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4
Q

The best location for performing venipuncture on a hospitalized 7 year old is

A

In a treatment room

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5
Q

The optimal depth of a fingerstick in a child is:

A

Less than 2.0 mm

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6
Q

Physical frailties that may affect elderly individuals include

A

All of the above

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7
Q

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

A

In a comfortable, reclining position

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8
Q

Transportation requirements for specimens collected from home bound patients include

A

All of the above

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9
Q

An acceptable alternative to hand washing prior to phlebotomy procedures

A

Foam or cream disinfectants

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10
Q

A debilitating disease causing tremors, particularly in elderly individuals

A

Parkinson’s disease

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11
Q

An emotional factor associated with the aging process

A

Depression

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12
Q

A complication that can result from multiple deep heel sticks on an infant

A

Osteomyelitis

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13
Q

A commonly inherited disease that is detectable through a newborn screening process in neonates

A

Sickle cell disease

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14
Q

The angle of needle for scalp vein venipuncture of an infant should be:

A

15 degrees

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15
Q

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:

A

4 hours

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16
Q

When a skin puncture is performed on an infant, which of the following specimens is collected first

A

Hematology specimens

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17
Q

Needed for blood collection by skin puncture on an infant

A

Puncture-resistant sharps container

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18
Q

Blood spot testing for neonatal screening disorders should be performed before the newborn is:

A

72 hours old

19
Q

An acceptable intervention to alleviate pain during venipuncture on a 5 year old child

A

EMLA

20
Q

Preferred site for a heel stick

A

Medial or lateral section of the heel

21
Q

Disorders that can be detected through neonatal screening

A

Cystic fibrosis

22
Q

Equipment necessary for newborn screening blood collection

A

Disposable gloves

23
Q

Gauge sizes that should be used for the infant scalp venipuncture

A

23 gauge

24
Q

What is true of congenital hypothyroidism

A

Screen for through the neonatal screening blood collection procedure

25
Q

Cystic fibrosis is detected by the capillary blood gas test.

A

False

26
Q

A minute metal filing and magnet are necessary for the capillary blood has procedure.

A

True

27
Q

EMLA is a topical anesthetic used after venipuncture in children

A

False

28
Q

Sucrose is effective in reducing pain and crying time during a blood collection procedure for an infant.

A

True

29
Q

The EMLA application provides anesthesia for 45 minutes to 3 hours

A

True

30
Q

A 10mL blood sample collected from a newborn is equivalent to 5 to 10 percent of the infants total blood volume

A

True

31
Q

An incision for a heel stick on an infant should not go deeper than 3.0mm

A

False

32
Q

A physical problem common in elderly individuals is loss of feeling

A

True

33
Q

The central area of the infants heel is the best site for a heel stick blood collection

A

False

34
Q

For children older than _____ year, a finger stick is appropriate for blood collection.

A

One

35
Q

If an incision for a heel stick goes deeper than ______ mm in a newborn, it can lead to osteomyelitis

A

2.0

36
Q

_________ blood is the specimen of choice for blood gas testing

A

Arterial

37
Q

A common interference in newborn screening collections occurs when blood specimens are not dried for ______ hours before mailing

A

Four

38
Q

Children with spina bifida are particularly sensitive to ______

A

Latex

39
Q

Use of a ______ over a skin puncture site is not recommended for children less than 2 years old

A

Bandage

40
Q

In the hospital, it is best to perform a blood collection procedure on a child in a ______ room

A

Treatment

41
Q

The horizontal position to immobilize a child is also referred to as the ______ position

A

Supine

42
Q

Eutectic mixture of local anesthetic is also called ______

A

EMLA

43
Q

For the newborn screening blood collection procedure, only ______ side of the filter paper should be used

A

One