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WorksheetsKUIZ NNJ PKD KINTA 2021
Total questions: 12
Worksheet time: 9mins
Jaundice is apparent clinically, when the level of bilirubin in the serum rises above 85μmol/L (5mg/ dL).
Below are the features of pathological jaundice, EXCEPT :
Clinical jaundice appear in the first 24 hours of age
G6PD Deficiency
Rapid rise in the level of total bilirubin more than 103 μmol/L/24 hours
Conjugated (Direct) hyperbilirubinaemia more than 15% of total bilirubin.
Below are the risk factors of SNNJ, EXCEPT :
Mothers with blood group O/ Rhesus negative
Prematurity (< 37 completed weeks)
Baby of Covid-19 mother
Inadequate breastfeeding/ dehydration (>10% weight loss)
When the mother is Rh-negative, the below tests are required from cord blood, EXCEPT :
ABO blood type and Rh(D) type
Direct Coombs’test
TSH
Bilirubin level
In case of G6PD deficiency, the baby must be admitted in hospital for observation for at least .........
3 days
7 days
5 days
24 hours
If the jaundice is detected but not indicated for admission or phototherapy , daily visits should be conducted to monitor the severity of jaundice.
Rapid rise of serum bilirubin more than 8.5 μmol/L/hour (> 0.5mg/dL/hour) is indication for
discharge
phototherapy
exchange transfusion
Percentage of weight loss (% weight loss) can be calculated by using this formula:
(W) / birth weight x 100%
What is W?
current weight
birth weight + current weight
birth weight - current weight
In what condition TcB (transcutaneous Bilirubinometer) should not be use to measure bilirubin level?
premature baby
If TcB level exceed 200 umol/L
> 24hours after stopping phototherapy
macrosomic baby
Below are the causes of Conjugated Hyperbilirubinemia, EXCEPT :
Hypothyroidism
Urinary tract Infection
Biliary Atresia
TORCHES infection
Severe Neonatal Jaundice defined as neonate under 14 days of life with serum bilirubin level ................
>308 μmol/L
> 315 μmol/L
> 340 μmol/L
> photo level
What is the upper limit of severe neonatal jaundice (SNNJ) rate in Quality Assurance Indicator?
25 per 10,000 estimated live births
50 per 10,000 estimated live births
15 per 10,000 estimated live births
