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Questions and Answers
Which of the following correctly describes the difference between sickle cell anemia and beta thalassemia major?
Which of the following correctly describes the difference between sickle cell anemia and beta thalassemia major?
- Sickle cell anemia and beta thalassemia major both involve reduced production of normal hemoglobin.
- Sickle cell anemia involves abnormal hemoglobin leading to crescent-shaped red blood cells, while beta thalassemia major involves reduced production of normal hemoglobin. (correct)
- Sickle cell anemia involves reduced production of normal hemoglobin, while beta thalassemia major involves abnormal hemoglobin leading to crescent-shaped red blood cells.
- Sickle cell anemia and beta thalassemia major both involve abnormal hemoglobin leading to crescent-shaped red blood cells.
What is the mechanism of inheritance for hemophilia?
What is the mechanism of inheritance for hemophilia?
- Y-linked
- Autosomal recessive
- X-linked recessive (correct)
- Autosomal dominant
In the context of hematological disorders, what distinguishes immune thrombocytopenia (ITP) from disseminated intravascular coagulation (DIC)?
In the context of hematological disorders, what distinguishes immune thrombocytopenia (ITP) from disseminated intravascular coagulation (DIC)?
- ITP involves widespread clotting leading to platelet depletion, while DIC involves low platelet count due to immune system destruction.
- ITP involves low platelet count due to immune system destruction, while DIC involves widespread clotting leading to platelet depletion. (correct)
- ITP and DIC both involve widespread clotting leading to platelet depletion.
- ITP and DIC both involve low platelet count due to immune system destruction.
What is the primary nursing responsibility during blood transfusion?
What is the primary nursing responsibility during blood transfusion?
What does CBC stand for in the context of the text?
What does CBC stand for in the context of the text?
Which symptoms can indicate blood disorders according to the text?
Which symptoms can indicate blood disorders according to the text?
What is the most common hematological disorder in infancy and childhood?
What is the most common hematological disorder in infancy and childhood?
What do RBC indices (MCV, MCH, MCHC) help differentiate according to the text?
What do RBC indices (MCV, MCH, MCHC) help differentiate according to the text?
What is the purpose of WBC count and differential WBC count according to the text?
What is the purpose of WBC count and differential WBC count according to the text?
Why is platelet count crucial according to the text?
Why is platelet count crucial according to the text?
What does the etiological approach provide direction for according to the text?
What does the etiological approach provide direction for according to the text?
Why is understanding CBC findings and red blood cell disorders essential for nurses according to the text?
Why is understanding CBC findings and red blood cell disorders essential for nurses according to the text?
What is the role of health history and physical examination according to the text?
What is the role of health history and physical examination according to the text?
What tests are performed in CBC according to the text?
What tests are performed in CBC according to the text?
What is anemia classified based on according to the text?
What is anemia classified based on according to the text?
Why should nurses be familiar with CBC findings and normal values for all ages according to the text?
Why should nurses be familiar with CBC findings and normal values for all ages according to the text?
What is a nurse's responsibility in managing pediatric anemia?
What is a nurse's responsibility in managing pediatric anemia?
What is essential for definitive diagnosis of certain anemias like aplastic anemia?
What is essential for definitive diagnosis of certain anemias like aplastic anemia?
What is crucial in anemia management?
What is crucial in anemia management?
What is vital in monitoring and preventing complications in pediatric anemia?
What is vital in monitoring and preventing complications in pediatric anemia?
What contributes to high anemia prevalence in Canadian Indigenous infants?
What contributes to high anemia prevalence in Canadian Indigenous infants?
What are risk factors for iron-deficiency anemia?
What are risk factors for iron-deficiency anemia?
Who is recommended for iron supplementation?
Who is recommended for iron supplementation?
Who is at risk for iron-deficiency anemia due to rapid growth and poor eating habits?
Who is at risk for iron-deficiency anemia due to rapid growth and poor eating habits?
What can result in iron-deficiency anemia?
What can result in iron-deficiency anemia?
What can improve infant iron status and reduce the risk of iron deficiency?
What can improve infant iron status and reduce the risk of iron deficiency?
What is the effect of anemia on the circulatory system?
What is the effect of anemia on the circulatory system?
How does anemia affect the oxygen-carrying capacity of blood?
How does anemia affect the oxygen-carrying capacity of blood?
What are the common effects of chronic severe anemia on children?
What are the common effects of chronic severe anemia on children?
How is anemia severity defined?
How is anemia severity defined?
What is the aim of therapeutic management for anemia?
What is the aim of therapeutic management for anemia?
How is anemia suspected in pediatric patients?
How is anemia suspected in pediatric patients?
What is included in anemia assessment?
What is included in anemia assessment?
What is the potential result of anemia with reduced Hgb concentration?
What is the potential result of anemia with reduced Hgb concentration?
What is the emphasis in identifying the cause of anemia?
What is the emphasis in identifying the cause of anemia?
What may pediatric patients undergo to identify anemia?
What may pediatric patients undergo to identify anemia?
What does anemia classification in Figure 48.1 include?
What does anemia classification in Figure 48.1 include?
What is the impact of anemia on children's function despite low Hgb levels?
What is the impact of anemia on children's function despite low Hgb levels?
What is the recommended iron concentration in formula for formula-fed infants for the first 9 to 12 months?
What is the recommended iron concentration in formula for formula-fed infants for the first 9 to 12 months?
What is the purpose of giving ascorbic acid (vitamin C) with iron preparations?
What is the purpose of giving ascorbic acid (vitamin C) with iron preparations?
When should fresh cow’s milk be given to infants?
When should fresh cow’s milk be given to infants?
In what circumstances is parenteral iron administration reserved for children?
In what circumstances is parenteral iron administration reserved for children?
What is the role of nursing care in managing pediatric iron-deficiency anemia?
What is the role of nursing care in managing pediatric iron-deficiency anemia?
When should oral iron be given to children?
When should oral iron be given to children?
What is the purpose of giving iron-rich foods to infants between 6 and 12 months old?
What is the purpose of giving iron-rich foods to infants between 6 and 12 months old?
What is the preferred form of iron for absorption?
What is the preferred form of iron for absorption?
When are transfusions indicated for children with iron-deficiency anemia?
When are transfusions indicated for children with iron-deficiency anemia?
What are potential health risks associated with iron-deficiency anemia?
What are potential health risks associated with iron-deficiency anemia?
How should parents be informed to manage expected stool color changes with iron administration?
How should parents be informed to manage expected stool color changes with iron administration?
What is the purpose of family education in preventing nutritional anemia?
What is the purpose of family education in preventing nutritional anemia?
Study Notes
Pediatric Iron-Deficiency Anemia Management and Nursing Care
- Therapeutic management of iron-deficiency anemia in children involves increasing supplemental iron through dietary counseling and oral iron supplements.
- Formula-fed infants should receive formula containing 6.5 mg/L to 13 mg/L of iron for the first 9 to 12 months, supplemented with iron-rich foods after 6 months.
- Fresh cow’s milk should not be given to infants younger than 9 to 12 months to avoid the risk of GI blood loss.
- Oral iron supplements are prescribed if dietary sources of iron are inadequate, with ferrous iron being more readily absorbed than ferric iron.
- Ascorbic acid (vitamin C) facilitates iron absorption and can be given with iron preparations.
- Parenteral iron administration is reserved for children with iron malabsorption, chronic hemoglobinuria, or intolerance to oral preparations.
- Transfusions are indicated for severe anemia, serious infection, cardiac dysfunction, or surgical emergencies.
- Iron-deficiency anemia is associated with potential cognitive impairments and other health risks, such as seizures and strokes.
- Nursing care involves assessing for anemia, instructing parents in iron administration, and monitoring for adverse effects.
- Oral iron should be given in two divided doses between meals, with citrus fruit or juice to aid absorption.
- Parents should be informed about expected stool color changes with iron administration and how to manage vomiting or diarrhea.
- Family education is essential to prevent nutritional anemia, with a focus on feeding iron-rich foods to infants between 6 and 12 months old.
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Test your knowledge of pediatric iron-deficiency anemia management and nursing care with this quiz. Explore topics such as therapeutic management, dietary counseling, oral iron supplements, formula feeding, parenteral iron administration, transfusions, cognitive impairments, nursing assessment, and family education. Sharpen your understanding of key concepts and best practices in caring for children with iron-deficiency anemia.
