{"id":6204,"date":"2016-06-18T12:38:42","date_gmt":"2016-06-18T09:38:42","guid":{"rendered":"https:\/\/nur.sohag-univ.edu.eg\/main\/?page_id=6204"},"modified":"2016-06-18T12:38:42","modified_gmt":"2016-06-18T09:38:42","slug":"%d8%aa%d9%85%d8%b1%d9%8a%d8%b6-%d8%a7%d9%84%d8%a3%d8%b7%d9%81%d8%a7%d9%84-2","status":"publish","type":"page","link":"https:\/\/nur.sohag-univ.edu.eg\/main\/%d8%aa%d9%85%d8%b1%d9%8a%d8%b6-%d8%a7%d9%84%d8%a3%d8%b7%d9%81%d8%a7%d9%84-2\/","title":{"rendered":"\u062a\u0645\u0631\u064a\u0636 \u0627\u0644\u0623\u0637\u0641\u0627\u0644"},"content":{"rendered":"<p dir=\"LTR\"><strong>Define <\/strong><\/p>\n<p dir=\"LTR\"><strong>Primary health care<\/strong><strong><\/strong><\/p>\n<p dir=\"LTR\">Primary Health Care is defined as a first level of contact with the health system to promote health, prevent disease, and care for common illnesses, and mange ongoing health problems.<strong><\/strong><\/p>\n<p dir=\"LTR\"><strong>Nurse&#8217;s role in phototherapy<\/strong><\/p>\n<p dir=\"LTR\">1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The lamp should be 5-8Cs over incubator.<\/p>\n<p dir=\"LTR\">2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Continue feeding.<\/p>\n<p dir=\"LTR\">3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Shield infant&#8217;s eyes.<\/p>\n<p dir=\"LTR\">4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Keep infant nude except for diaper area and change position frequently.<\/p>\n<p dir=\"LTR\">5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Clean skin frequently to prevent irritation.<\/p>\n<p dir=\"LTR\">6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Maintain adequate fluid intake to prevent dehydration and calculate intake and output.<\/p>\n<p dir=\"LTR\">7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Monitor body temperature to prevent hyperthermia.<\/p>\n<p dir=\"LTR\">8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Weight infant daily.<\/p>\n<p dir=\"LTR\">9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Observe skin, mucous membranes and stool.<\/p>\n<p dir=\"LTR\">10\u00a0 Bilirubin levels should be monitored for at least 24 hours after discontinuing phototherapy.<\/p>\n<p dir=\"LTR\"><strong><span style=\"text-decoration: underline;\">Put true and false <\/span><\/strong><strong><span style=\"text-decoration: underline;\">\u0643\u0644 \u0627\u0644\u0627\u062c\u0627\u0628\u0627\u062a \u062e\u0637\u0623)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/strong><strong><span style=\"text-decoration: underline;\">)<\/span><\/strong><\/p>\n<p dir=\"LTR\">1-\u00a0\u00a0\u00a0 BCG vaccine is considered<strong> <\/strong>vaccine not containing live microorganisms<strong><\/strong><\/p>\n<p dir=\"LTR\">2-\u00a0\u00a0\u00a0 vitamin A ;\u00a0\u00a0 is given first dose 200,000 I.U oral, at age 9 months and second dose 100,000 I.U oral, at age 18 months.<strong><\/strong><\/p>\n<p dir=\"LTR\">3-\u00a0\u00a0\u00a0 The best time to introduce weaning foods is about 3 &#8211; 6 months of age.<strong><\/strong><\/p>\n<p dir=\"LTR\">4-\u00a0\u00a0\u00a0 Moderately-low-birth-weight, an infant whose birth weight is less than 1500g.\u00a0 <strong><\/strong><\/p>\n<p dir=\"LTR\">5-\u00a0\u00a0\u00a0 Fetal distress during labor is considered prenatal Factors Predisposing infant to be high-risk neonate<strong><\/strong><\/p>\n<p dir=\"LTR\">6-\u00a0\u00a0\u00a0 Premature infants: it is an infant born earlier before 27 weeks of gestational age<strong><\/strong><\/p>\n<p dir=\"LTR\">7-\u00a0\u00a0\u00a0 Infant require immediately admission to a level of intensive care<strong> <\/strong>When Infant more than 1800 gm or less than 34-35 gestation.<strong><\/strong><\/p>\n<p dir=\"LTR\">8-\u00a0\u00a0\u00a0 Criteria for early discharge from the NICU when Infant weight more than 1600 gm, and gestational age more than 34 weeks.<strong><\/strong><\/p>\n<p dir=\"LTR\">9-\u00a0\u00a0\u00a0 Respiratory distress syndrome is effective respiratory function resulting from lack of pulmonary surfactant, which is a substance, coats the lining of the alveoli to facilitate alveolar expansion, and contraction.<strong><\/strong><\/p>\n<p dir=\"LTR\">10-\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 An infant of a diabetic mother is a baby born to a mother who not has diabetes.<strong><\/strong><\/p>\n<p dir=\"LTR\"><strong><span style=\"text-decoration: underline;\">Choose the correct answer<\/span><\/strong><strong> <\/strong><\/p>\n<p dir=\"LTR\"><strong>1-Side effects of DPT vaccine except<\/strong><\/p>\n<p dir=\"LTR\"><strong>A \u2013 <\/strong>Fever<\/p>\n<p dir=\"LTR\">B- Local soreness<\/p>\n<p dir=\"LTR\"><strong><span style=\"text-decoration: underline;\">\u00a0\u00a0\u00a0\u00a0\u00a0 c- <\/span><\/strong><strong><span style=\"text-decoration: underline;\">No side effects for this vaccine<\/span><\/strong><strong><\/strong><\/p>\n<p dir=\"LTR\"><strong>2-Complication of prematurity <\/strong><\/p>\n<p dir=\"LTR\"><strong>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><strong><span style=\"text-decoration: underline;\">Respiratory distress<\/span><\/strong><strong><\/strong><\/p>\n<p dir=\"LTR\">2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pneumomediastrinum<\/p>\n<p dir=\"LTR\">3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pneumothorax<\/p>\n<p dir=\"LTR\"><strong>3-Complications of RDS<\/strong><\/p>\n<p dir=\"LTR\"><strong>1-\u00a0\u00a0 <\/strong>Pulmonary interstitial emphysema <strong><\/strong><\/p>\n<p dir=\"LTR\"><strong>2-\u00a0\u00a0 <\/strong><strong><span style=\"text-decoration: underline;\">A and C<\/span><\/strong><\/p>\n<p dir=\"LTR\"><strong>3-\u00a0\u00a0 <\/strong>Chronic lung disease<strong><\/strong><\/p>\n<p dir=\"LTR\"><strong>4-Kernicterus develops when unconjugated bilirubin passes the blood brain barrier and is deposited in the <\/strong><\/p>\n<p dir=\"LTR\">A-\u00a0\u00a0 <strong><span style=\"text-decoration: underline;\">Brain cells particularly the basal ganglia.<\/span><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0\u00a0\u00a0 Cerebellum<\/p>\n<p dir=\"LTR\">C-\u00a0\u00a0\u00a0 Respiratory system<\/p>\n<p dir=\"LTR\"><strong>5-<\/strong><strong> <\/strong><strong>Indications for phototherapy<\/strong><\/p>\n<p dir=\"LTR\"><strong>A- <\/strong><strong><span style=\"text-decoration: underline;\">In infants&lt;1500grams, if bilirubin exceeds 5mg\/dl.<\/span><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0 In formula fed neonate, if bilirubin&gt;20mg\/dl.<\/p>\n<p dir=\"LTR\">C-\u00a0 In breast fed neonate, if bilirubin&gt;15-20mg\/dl.<\/p>\n<p dir=\"LTR\"><strong>6-Complications of exchange transfusion<\/strong><\/p>\n<p dir=\"LTR\">A- Embolism, thrombosis, infarction.<strong><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0 Electrolyte disturbances<strong><\/strong><\/p>\n<p dir=\"LTR\">C-\u00a0 <strong><span style=\"text-decoration: underline;\">A and B<\/span><\/strong><\/p>\n<p dir=\"LTR\">7- <strong>Signs and symptoms of neonatal sepsis affected circulatory system are <\/strong><\/p>\n<p dir=\"LTR\">A- <strong><span style=\"text-decoration: underline;\">Pallor, cyanosis or moutling , Cold, clammy skin and Hypotension<\/span><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0 Irregular respiration, apnea or tachypnea<\/p>\n<p dir=\"LTR\">C-\u00a0 The infant generally is not doing well<\/p>\n<p dir=\"LTR\"><strong>8-<\/strong><strong> Management of hyperbilirubinemia<\/strong><strong> include <\/strong><\/p>\n<p dir=\"LTR\"><strong>A- <\/strong><strong><span style=\"text-decoration: underline;\">Phototherapy and <\/span><\/strong><strong><span style=\"text-decoration: underline;\">exchange transfusion.<\/span><\/strong><strong><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0 Shield infant&#8217;s eyes.<\/p>\n<p dir=\"LTR\">C-\u00a0 Keep infant nude except for diaper area and change position frequently.<\/p>\n<p dir=\"LTR\"><strong>9- <\/strong><strong>Hypoglycemia is<\/strong><strong> occurred when <\/strong><\/p>\n<p dir=\"LTR\"><strong>A- <\/strong><strong><span style=\"text-decoration: underline;\">Blood sugar &lt;40-50 mg\/dl<\/span><\/strong><strong><\/strong><\/p>\n<p dir=\"LTR\">B-\u00a0 blood glucose &gt;125 mg\/dL (6.9 mmol\/L) or plasma glucose &gt;150 mg\/dL<\/p>\n<p dir=\"LTR\">C-\u00a0 Blood sugar &gt;40-50 mg\/dl<\/p>\n<p dir=\"LTR\">10-<strong>Principles of primary health care are:<\/strong><\/p>\n<p dir=\"LTR\">1-<a title=\"Equity (economics)\" href=\"http:\/\/en.wikipedia.org\/wiki\/Equity_%28economics%29\">Equitable<\/a>distribution of PHC<\/p>\n<p dir=\"LTR\">2-Manpower development<\/p>\n<p dir=\"LTR\"><strong><span style=\"text-decoration: underline;\">3- A and B<\/span><\/strong><\/p>\n<p dir=\"LTR\">\n","protected":false},"excerpt":{"rendered":"<p>Define Primary health care Primary Health Care is defined as a first level of contact with the health system to promote health, prevent disease, and care for common illnesses, and 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