Deck 8: Neonatal and Geriatric Procedures and Considerations

Question 1

The amount of blood collected from infants must be documented to avoid:

A) Hemolytic disease of the newborn
B) Iatrogenic anemia
C) Sickle cell anemia
D) None of the above

Answer 1

B

Question 2

Excessive massaging or squeezing of the heel during a skin puncture procedure can cause:

A) Damage to the infant's heel
B) Hemolysis of the blood as it is forced through the puncture site
C) Introduction of tissue fluid as a contaminant to the sample
D) All of the above

Answer 2

D

Question 3

Which of the following is the safest area for infant heel puncture? The:

A) Fleshy area on the bottom of the foot,under the heel
B) Fleshy areas on either side of the heel
C) Posterior curvature of the heel
D) None of the above

Answer 3

B

Question 4

Concerns that must be considered when collecting blood specimens from elderly patients include changes to the following as a result of advanced age:

A) Sight
B) Hearing
C) Skin
D) All of the above

Question 5

Which of the following tests is required by law for neonatal screening?

A) PKU
B) Bilirubin
C) Thyroid testing
D) Both a and c

Question 6

Precautions that must be taken to protect the skin and veins of elderly patients during blood collection include:

A) care in the anchoring veins as loss of skin elasticity may lead to increased rolling of veins during the procedure
B) application of pressure following blood collection for a longer period of time to prevent excessive bleeding
C) use of smaller gauge needles and specialized equipment such as syringes and butterflies to prevent bruising from delicate veins
D) all of the above

Question 7

It is necessary to control depth of lancet insertion during heel puncture to avoid:

A) Bacterial contamination
B) Excessive bleeding
C) Bone injury
D) Puncturing an artery

Question 8

Which test is used to screen for hemolytic disease of the newborn?

A) Galactose
B) Bilirubin
C) Thyroid hormone
D) Phenylketonuria

Question 9

Which test is used to screen infants for the inability to digest a sugar found in milk?

A) Galactose
B) Bilirubin
C) Thyroid hormone
D) Phenylketonuria