Which of the following statements regarding physiologic jaundice is
correct?
A) It appears on the feet and progresses upward on the
body
B) It appears when bilirubin levels reach 3 mg/dL
C) It
generally clears within 2 to 3 weeks with adequate feedings
D) It
begins within the first 24hrs of life
Answer: C
Physiologic jaundice represents a normal transitional
state that revolves once the infant's liver can keep up with the
demand for bilirubin conjugation. It starts after the first 24 hours
of life when the bilirubin level reaches 5 mg/dL or higher. The
condition is initially apparent on the newborn's face before it
progresses downward on the body. It will usually clear within 2 to 3
weeks without the intervention other than adequate feedings.
A neonate is noted to have shortened palpebral fissures and
microcephaly with a small jaw. This infant is most likely yo be
diagnosed with?
A) Down syndrome
B) Fetal alcohol
syndrome
C) Growth delay
D) Hydrocephalus
Answer: fetal alcohol syndrome
Classic symptoms of fetal alcohol
syndrome include small palpebral fissures and microcephaly with a
small jaw
A new parent reports that their 6-month-old infant has a cold and a
fever of 99.8f. The infant is not irritable and is feeling well
without problems. The parent wants to know whether it is okay for the
infant to be immunized at this time. Which of the following statements
is true?
A) The infant should not be immunized until they are
febrile
B) An infant with a cold can be immunized at any
time
C) An infant with a cold can be immunized as long as their
temperature is not higher than 100.4.
D) Because immunization is
so important, it should be given to the infant as scheduled
Answer: An infant with a cold can be immunized as long as their
temperature is not higher than 100.4f.
It is fine for an infant
to be vaccinated even if they have a mild illness. A vaccine will not
make a mild illness worse. A child can be vaccinated even if they have
a low-grade fever, cold, runny nose, cough, otitis media, or mild diarrhea.