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1. Which of the following factors leads to neonatal
hyperbilirubinemia?a. Shortened neonatal red cell life span.b.
Impaired excretion of unconjugated bilirubin.c. Limited conjugation
of bilirubin in the liver.d. Increased enterohepatic
circulation.
e. All of the above.
!. " total serum bilirubin #1$ mg% in a term neonate is&a.
physiologicb. pathologic
'. In ()*+ de,ciency- there is hyperbilirubinemia on the basis
of&a. hemolysisb. decreased conjugationc. bothd. neither
. True/0alse& Systemic sulfonamide medications are avoided
in thenewborn because they displace bilirubin from albumin and
increase freebilirubin.
. 2rue/False& +iscontinuation of phototherapy in a healthy-
termneonate is usually associated with rebound
hyperbilirubinemia.
). Which of the following factors should be strongly considered
indetermining whether an exchange transfusion is indicated in a
term neonatewith an indirect bilirubin of !1 mg%.
a. "ge of the neonate 3time since birth4.b. Whether the cause is
hemolytic or nonhemolytic.c. 2he presence of other clinical factors
such as intraventricular
hemorrhage or meningitis.d. All of the above.e. 5one of the
above.
1. What physical ,ndings suggest that an infant has a congenital
infection3267894?1. Small for gestational age- microcephaly-
jaundice- pale s:in-
petechiae- blueberry mu;n spots- hepatomegaly- and
splenomegaly.
!. 9ow does a congenital infection di
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1. 8are este cea mai frec cauDa de +7 la nn? 7& 225!. 8and
debuteaDa simptomele pentru tahipneea tranDitorie a nn si cum
ar putea distinge acest lucru 225 de alte tulburari? 7& In
225 simptapar la scurt timp dupa nastere. +ebutul tardivEalte
tulburari.
'. 8e tipuri de materiale pot cauDa sdr de aspiratie? 7&
meconiu- sange-
L".. 8e afectiune respiratorie este sugerata de un debut brusc
cu detresarespiratorie si h2"? 7& Sdr de pierdere de aer- cum
ar , pneumotoraxulin tensiune.
. 8are este cauDa S+7 a prematurului? 8are este manifestarea pe
7F? 7&+e,cit de surfactatnt care provoaca colabarea alveoleor-
ce devinem,Dematoase. Gnele alveole sunt atelectatice si sunt
adiacentebronhiilor. 7F& in,ltrat reticulogranular in sticla
mata si bronhogramaaerica.
). 8e organisme provoaca pneumonie la nn? 7& Streptococul de
grup A-bacili gram negativC coli- si Listeria monocytogenes.
