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WorksheetsNursing School Peds Hematology
Total questions: 23
Worksheet time: 13mins
Which of the following would be high at birth, decrease over time (unless the baby is premature), then reach adult levels by adolescence?
RBCs
WBCs
Thrombocytes
Platelets
Which of the following statements are true regarding pediatric differences in pediatric hematology?
Babies are born with a decreased number of thrombocytes
Babies are at risk of clotting at birth
Babies are born with an increased number of thrombocytes
Babies are at risk of bleeding at birth
Which statements are true regarding iron deficiency anemia?
It is the leading cause of anemia
It primarily affects African Americans
Infants who are breastfed do not require iron supplementation
Can occur in infants who ingest cow's milk prior to 1 year of age
Can occur in adolescent teenage girls
Which of the following clinical manifestations would be a short-term indicator of iron deficiency anemia?
Pallor
Koilonychia
Pica
Fatigue
Tachycardia
During which of the following times would diagnostic labs be conducted on the pediatric patient for iron deficiency anemia?
At 6 months of age for formula fed infants
Universally at 9-12 months of age
Annually for menstruating girls
Once for boys during pubertal growth
At the start of the first growth spurt
The major side effects of iron supplementation include which of the following?
Clay colored stools
Diarrhea
Constipation
Black stools
Liquid form stains teeth
The nurse would educate the mother of a child who is being supplemented with iron to include which of the following in the diet?
Cows milk
Vitamin D
Vitamin C
Fiber
Which are true regarding Hemophilia?
It is an X linked chromosomal disorder
It's the leading cause of disseminated intravascular coagulation (DIC)
There is a deficiency in clotting factors VIII or IX
It primarily affects males
Female carriers have a 25% chance of transmitting to sons
Hemarthrosis is condition that develops due to which of the following hematological issues?
Hemophilia
Sickle Cell Anemia
Iron Deficiency Anemia
When would be the best time to administer a vaccine to a child with moderate hemophilia who undergoes factor replacement infusion therapy?
After an infusion
During an infusion
Before an infusion
It is unsafe to give vaccines to a child with hemophilia
If both parents have sickle cell trait what is the chance that a child will be born with sickle cell trait?
25%
50%
75%
100%
Any condition that increases the need for oxygen can trigger RBCs to sickle
True
False
Sickled cells can become rehydrated and reoxygenated and carry out their normal life cycle of 120 days
True
False
Sickle cell anemia is typically asymptomatic infants for which of the following reason?
Infants who breastfeed have passive immunity
Infants have fetal Hgb
Infants have adult Hgb
Infants need time to further develop before symptoms arise
For which reason is the child with sickle cell at an increased risk for infection?
Chronic respiratory infections
Decreased production of antibodies
Delayed wound healing
Decreased production of RBCs
An autosplenectomy is the removal of a fibrotic spleen.
True
False
Which best describes splenic sequestration associated with sickle cell anemia?
The spleen is void of blood
The spleen is unable to produce antibodies
An auto splenectomy has occurred
There is pooling of blood in the spleen
The nurse would suspect chest syndrome in the pediatric patient with sickle cell anemia if the patient exhibits which of the following clinical manifestations?
Swollen joints
Fever
New respiratory symptoms
Sudden onset of chest pain
Sudden onset of petechiae
A CXR may reveal which of the following in a patient experiencing chest syndrome?
Atelectasis
Pulmonary infiltrates
Pulmonary edema
Pneumonia
Pediatric patients with sickle cell anemia between the ages of 2-12 years receive an annual __________ to assess the risk of stroke. If the there is increased blood velocity, then they would receive ___________ for prevention of stroke.
CXR, albuterol
Transcranial doppler (TCD), RBC transfusions
Subdural BOLT, maintenance fluids
CBC, an anticoagulant
Sickle cell anemia patients who receive regular blood transfusions can develop...
Hemophilia
Fluid shifts
Transfusional hemosiderosis
Iron deficiency anemia
How is a sickle cell anemia diagnosis confirmed?
Sickledex
Screening
Hemoglobin electrophoresis
Genetic counseling
What is hydroxyurea?
A therapy that increases production of clotting factor IX
A therapy that increases fetal hgb
Iron supplementation
Therapy that removes excess iron due to transfusional hemosiderosis
