Author Question: Some infants develop hypoxic-ischemic encephalopathy after asphyxia. Therapeutic hypothermia has ... (Read 64 times)

jayhills49 · **on:** Jun 27, 2018

Some infants develop hypoxic-ischemic encephalopathy after asphyxia. Therapeutic hypothermia has been used to improve neurologic outcomes for these infants. Criteria for the use of this modality include (select all that apply)

a. The infant must be 28 weeks gestation or greater.
b. Have evidence of an acute hypoxic event.
c. Be in a facility they can initiate treatment within 6 hours.
d. The infant must be 36 or more weeks gestation.
e. The treatment must be initiated within the first 12 hours of life.

Question 2

A preschooler is diagnosed with helminthes. The child's mother is very upset and wants to know how her child could have contracted this illness. After obtaining a detailed history, the nurse identifies all possible transmission modes.

Select all modes that apply. a. Playing in the backyard sandbox
b. Not washing hands before eating
c. Placing hands in the mouth and nail biting
d. Skin-to-skin contact with other children
e. Scratches from a neighborhood cat

lgoldst9 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B, C, D
Feedback
Correct These criteria are all correct.
Incorrect The infant must be at least 36 weeks of gestation to meet the criteria for
therapeutic hypothermia. Treatment should be initiated within the first 6
hours of life, ideally at a tertiary care center.

Answer to Question 2

A, B, C
Feedback
Correct Common helminthes include roundworm, pinworm, tapeworm, and
hookworm. Children are frequently infected as the result of frequent
hand-mouth activity (unwashed hands, nail biting, not washing hands after
using the toilet) and the likelihood of fecal contamination from sandboxes
(especially if dogs and cats deposit fecal material in them). Other causes
include not adequately washing fruits and vegetables before eating them
and drinking contaminated water.
Incorrect Skin-to-skin contact with other children and scratches from a cat are not
transmission modes for helminthes.