ATI RN
Infectious Disease Pediatric Questions
Question 1 of 5
In intraventricular hemorrhage (IVH), posthemorrhagic hydrocephalus may be managed with serial daily lumbar punctures, an external ventriculostomy tube, or a permanent ventricular-peritoneal shunt. Implementation of the shunt often is delayed because of the
Correct Answer: D
Rationale: Shunt delay in IVH hydrocephalus is due to high protein (D) clogging risk, more than RBCs (C), infection (B), kinking (A), or glucose (E).
Question 2 of 5
In neonatal hyperbilirubinemia, bilirubin is produced by the catabolism of hemoglobin in the reticuloendothelial system, one gram of hemoglobin produces
Correct Answer: D
Rationale: 1 g of hemoglobin yields ~35 mg bilirubin (D), per biochemical conversion rates.
Question 3 of 5
Gilbert disease, caused by a mutation of the promoter region of glucuronosyl transferase, is characterized by development of
Correct Answer: D
Rationale: Gilbert syndrome causes mild indirect hyperbilirubinemia (E) from reduced enzyme activity, not anemia (A), cholestasis (B), kernicterus (C), or organomegaly (D).
Question 4 of 5
The MOST important therapy for primary pulmonary hypertension of the newborn (PPHN) is
Correct Answer: C
Rationale: Inhaled nitric oxide (C) is the key PPHN treatment, relaxing pulmonary vessels, per neonatal protocols.
Question 5 of 5
Polycythemia is an excessively high hematocrit, which may lead to blood hyperviscosity; it is defined as central hematocrit of
Correct Answer: D
Rationale: Polycythemia is defined as hematocrit ≥65% (D), causing hyperviscosity, per neonatal standards.