FNP1 Exam 2

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  1. Conjunctival hemorrhage results from? How long does it last?
    • prolonged delivery
    • a few weeks
  2. What is sebacous hyperplasia? What causes it?
    • raised yellowish bumps on newborn's nose
    • maternal androgens still circulating
  3. What is milia? How long does it last?
    • white patches on newborn's face
    • about a week
  4. Caput Succudenum
    • Can cross suture lines
    • predominately is on one side
    • pitting edema
  5. Cephalhematoma ________ cross suture lines
    does not cross suture lines
  6. Moro reflex disappears by ________.
    6 months
  7. Stepping reflex disappears by ________.
    8 weeks
  8. Fencing reflex disappears by ________. What is this?
    • more than 6 months
    • turn head to side, one arm goes up and other out to side
  9. Plantar reflex disappears by ________.
    more than 8 months
  10. CN ______ is the suck and root reflex.
    V (trigeminal)
  11. CN ______ is the symmetrical face when crying.
    VII (facial)
  12. What CN are you testing for with this:  shine light in baby's eyes and watch the reaction; blink reflex; steady gaze (no wandering).
    • 2, 3, 4, 6
    • (optic, oculomotor, trochlear, abducens)
  13. CN ______ is tested when you clap loud and watch for a blink
    VIII (acoustic)
  14. What happens during the first newborn screen?
    • Edinburgh pp depression scale for mom;
    • HepB for baby
  15. Categories of Denver test
    • personal/social
    • fine motor/adaptive
    • gross motor
    • language
  16. When are the well baby visits?
    • a few days old
    • 2 weeks
    • 2 months
    • 4 months
    • 6 months
    • 9 months
    • 12 months
    • 15 months
    • 18 months
    • 24 months
    • 36 months
  17. What can cause leukocytosis?
    • inflammation or infection
    • trauma
    • stress (phys,emotional, exercise, heat or cold)
    • epi, steroids
    • thyroid storm, uremia, coma
    • leukemia, lymphoma
  18. Leukocytosis is a WBC count of what?
    >10,300
  19. Leukopenia s a WBC count of what?
    < 4,000
  20. What can cause Leukopenia?
    • viral or extreme bacterial infection
    • drugs
    • BM disorders
    • metastatic disease
  21. What is a left shift and what does it indicate?
    • increase in neutrophils and bands
    • acute bacterial infection
  22. WHat is a shift to the right and what does it mean?
    • increase in lymphocytes
    • viral response to infection
  23. What do neutrophils combat?
    pyogenic (bacterial) infections
  24. What do Eosinophils combat?
    • allergic disorders 
    • parasitic infections
  25. What do Basophils combat?
    • parasitic infections
    • some allergic
  26. What do Lymphocytes combat?
    viral infections
  27. What do Monocytes combat?
    severe infections (by phagocytosis)
  28. How to calculate absolute WBC count?
    % specific cell x total WBC
  29. Five primary causes of Eosinophilia.
    • Neoplasm
    • Allergy
    • Asthma
    • Collagen diseases
    • Parasites
    • (NAACP)
  30. Presence of bands or metas.
    • bands = BM under stress
    • metas = significant BM stress (maybe hematologic CA)
  31. Viral diseases that can cause lymphocytosis.
    • URI
    • cytomegalovirus
    • toxoplasmosis
    • hep
    • measles, mumps, varicella
  32. Bacterial diseases that can cause lymphocytosis.
    • TB
    • pertussis
    • brucellosis
  33. Bacterial count > _______ = urine infection.
    100,000
  34. Nitrites in UA = presence of what?
    gram (-) rods
  35. Optimal timing for blood culture.
    1 hour before temp spikes
  36. Venipuncture is preferable for blood culture (two samples). The second sample should be taken when and where?
    10 min later from a different site
  37. What should you do b4 giving an antipyretic?
    sample the blood because you don't want to give abx to mask spike in temp
  38. What should you think about if a pt has increase BUN and normal Cr?
    GI bleed
  39. What is azotemia?
    • elevated BUN
    • (increased nitrogenous waste in blood)
  40. What is Uremia?
    • toxic condition;
    • kidney unable to excrete urea or other substances
  41. How do you calculate the ABSOLUTE neutrophil count?
    % neutrophils + % bands x Total WBC
  42. BM suppression can be secondary to what?
    • abx
    • transplantation
    • HIV
  43. What lab result would indicate BM suppression?
    presence of bands or metas

Card Set Information

Author:
MeganM
ID:
316850
Filename:
FNP1 Exam 2
Updated:
2016-03-14 19:59:33
Tags:
FNP
Folders:
GU,FNP1
Description:
exam 2
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