Hemolytic Disease In The Newborn

39 Questions | By Lbfikac | Updated: Mar 21, 2022 | Attempts: 1198

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I affirm, by submitting this online test and evaluation, that I have read the material in this educational offering. � I verify that the personal information submitted is mine and for the purpose of obtaining continuing education credit. � Contact hours are offered for continuing education. �Therefore, they are valid only for the first time this activity is completed. �I affirm that this is the first time I have submitted the test and evaluation for credit for this activity. There are 25 questions on this test. A score of 85% is required to be successful; no more than 3 questions may be incorrect. Good Luck! Questions 26-36 are your evaluation of this learning activity. This evaluation must be completed to receive credit. Thank you.

Questions and Answers

1.

_________________ is an immunoglobulin that provides protection against most common infections. It is a glycoprotein that stimulates phagocytosis.
- A.
  
  Antigen
- B.
  
  Antibody
2.

________________ is an oligosaccharide and is a marker on the surface of cells that identifies the cell type. The T- and B-Cells respond to these as part of the immune response.
- A.
  
  Antigen
- B.
  
  Antibody
3.

The term autosome, or autosomal, refers to all of the chromosomes, including the sex, or X and Y, chromosomes.
- A.
  
  True
- B.
  
  False
4.

A person's blood type is determined by the presence or absence of specific antigen(s) on the surface of their red blood cells (RBCs).
- A.
  
  True
- B.
  
  False
5.

______________ measures the effect of the infant's serum on unrelated adult RBCs.
- A.
  
  Indirect Coombs' test
- B.
  
  Direct Coombs' test
6.

______________ measures the amount of maternal antibody coating an infant's RBC.
- A.
  
  Indirect Coombs' test
- B.
  
  Direct Coombs' test
7.

_________________ is a protein or starch that is commonly used as an intravascular volume expander.
- A.
  
  Crystalloid solution
- B.
  
  Colloid solution
8.

The production of blood cells is known as -
- A.
  
  Hemolysis
- B.
  
  Hematopoiesis
- C.
  
  Hematoblast
9.

The production of red blood cells is know as -
- A.
  
  Erythrocyte
- B.
  
  Erythroblast
- C.
  
  Erythropoiesis
10.

By 24 weeks gestation, production of RBCs in the __________ surpasses that of the liver.
- A.
  
  Spleen
- B.
  
  Kidneys
- C.
  
  Bone marrow
- D.
  
  All of the above
11.

RBCs are able to release oxygen into the systemic tissues because of higher oxygen tension in the systemic capillaries than in the surrounding tissues.
- A.
  
  True
- B.
  
  False
12.

Hemolytic disease in the newborn results in a shortened life of the fetal and/or newborn RBCs because of the mother's sensitization to the fetal RBC antigens inherited from the father.
- A.
  
  True
- B.
  
  False
13.

Sensitization of the mother's immune system to the fetus' RBCs stimulates the production of the immunoglobulin, _____ , that is transplacentally transferred to the fetus.
- A.
  
  IgA
- B.
  
  IgM
- C.
  
  IgG
- D.
  
  IgD
14.

For the following question, please check all answer(s) that apply. From the maternal blood groups listed below, which infant(s) need testing at birth?
- A.
  
  O negative
- B.
  
  O positive
- C.
  
  AB negative
- D.
  
  B positive
15.

For the following question, please check all answer(s) that apply. Nursing care of the infant receiving phototherapy includes -
- A.
  
  Increasing and/or changing feeding frequency, using glycerin suppositories
- B.
  
  Monitoring temperature every 30 minutes, monitoring blood glucose as needed
- C.
  
  Maintaining bank lights 12 inches above the infant with an intensity of at least 12
- D.
  
  Initiating IV therapy, turning phototherapy lights off during lab draws
16.

For the following question, please check all answer(s) that apply. Nursing care during an exchange transfusion includes -
- A.
  
  Verifying parental consent and maintaining all emergency equipment nearby
- B.
  
  Monitoring vital signs every 10 minutes and blood glucose every 30 minutes during the procedure
- C.
  
  Constant 1:1 observation and recording blood volume in and out
17.

For the following question, please check all answer(s) that apply. Considerations when administering intravenous immunoglobulin (IVIG) include -
- A.
  
  The solution is reconstituted by pharmacy, keep it refrigerated until it is used
- B.
  
  The solution foams easily and is compatible with all dextrose solutions
- C.
  
  Monitoring vital signs, glucose, and IV site every 30 minutes during the procedure
18.

Rh incompatibility is also known as erythroblastosis fetalis.
- A.
  
  True
- B.
  
  False
19.

Rh incompatibility occurs when Rh-negative maternal blood is exposed to Rh-positive fetal RBCs.
- A.
  
  True
- B.
  
  False
20.
Recommended testing at birth includes -
- Maternal cord blood for Rh and grouping, Coombs' test, and bilirubin
- Infant blood for type and screen, direct Coombs' test, and bilirubin
- A.
  
  True
- B.
  
  False
21.

Rho(D) immune globulin (RhoGAM®) is -
- A.
  
  Immunoglobulin M
- B.
  
  Immunoglobulin A
- C.
  
  Immunoglobulin G
- D.
  
  None of the above
22.

With the widespread use of Rho(D) immune globulin , non-immune mechanisms are the major causes of hydrops fetalis.
- A.
  
  True
- B.
  
  False
23.

For the following question, please check all answer(s) that apply. Infants with hydrops fetalis may present with -
- A.
  
  Pericardial and/or pleural effusions
- B.
  
  Ascites and/or enlarged liver and spleen
- C.
  
  Respiratory distress and/or hypotension
- D.
  
  Anemia and/or hypoalbuminemia
24.

Each blood group (A, B, AB, O) has an antigen on the surface of the RBC and the corresponding antibody to the antigen that is missing in the plasma.
- A.
  
  True
- B.
  
  False
25.

ABO incompatibility is more common than Rh incompatibility, is less severe, can result in RBC hemolysis, and can occur during the first pregnancy.
- A.
  
  True
- B.
  
  False