Pediatric Nursing Demystified

(dillionhill2002) #1

CHAPTER 7/ The Hematologic System^145



  1. The parents of a child with hemophilia are concerned about subsequent chil-
    dren having the disease. The mother is a carrier and the father does not have the
    disease. Which statement best addresses their concern?
    a. Hemophilia is not an inherited condition.
    b. All subsequent siblings will have hemophilia.
    c. Each sibling has a 25% chance of having hemophilia.
    d. There is a 50% chance of siblings having hemophilia.

  2. The symptoms noted in sickle cell anemia result primarily from which of the
    following?
    a. Decreased blood viscosity
    b. Deficiency in coagulation factor
    c. Increased blood cell destruction
    d. Decreased cell affinity for oxygen

  3. What should be included in the plan of care for a preschool-age child who is
    admitted in a vasoocclusive sickle cell crisis (pain episode)?
    a. Pain management
    b. Administration of heparin
    c. Factor VIII replacement
    d. Electrolyte replacement


ANSWERS


Routine checkup 1


  1. If they have children, there is a 50% chance they will have a child with sickle cell
    disease.

  2. d
    Routine checkup 2

  3. Bleeding, hemarthrosis, pain, neurostatus changes.

  4. c

  5. d
    Final checkup

  6. d 2. c 3. d 4. a 5. d

  7. c 7. b 8. c 9. c 10. a

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