Clinicals

Question 1

ERYTHROPOIESIS in fetus begins by__________________

Answer 1

6th Gestational week

Question 2

True/false :- erythropoiesis in fetus is endogenously controlled by Erythropoietin produced by fetal kidneys

Answer 2

false

fetal erythropoiesis is endogenous controlled by erythropoietin produced by the fetus Liver As maternal Erythropoietin does not cross placenta

Question 3

True/False: Ante natally mother should be nourished well with IRON Rich food into prevent Nutritional anemia in New born

Answer 3

False

Iron is transported actively from mother to child
Leval of HB in new Born at Birth is unrelated to the nutritional status of mother

But Infant born to Iron deficient mothers would have poor stores of IRON and have great incidence of Late onset physiological Anemia

Question 4

what are the factors that result in the gradual fall of HB during early life?.

Answer 4

A. Newer RBC are smaller in size & have low HB content
B. Production of RBC & HB does keep pace with Body growth &Increase in Blood volume
C. fetal Bone marrow hyperactivity is replaced by relative hypoactivity Due to Low Levels of Erythropoietin during phase turn over from fetal HB Producto to Adult HB production

Normal HB of child Less than 5 years of age is 11 g/dL various Newborn will have HB of 14 to 18 g/dl which need to be decreased by above factors