WPC U)| sߐrVUV=օUDžuUMhF$PS̖n`v8`jlzR[ Be ,WCf֛_8IHl E_̌gh ~m hb}tXTAْ $;[Kqa"[] q\Ja0ʰtkdriz8F} Sdƞ[EN5kJ S1;sXח] x|c~apGy;Wjje6lwnޝEBw\dF#o-i0vC ~Db58Md/tLܿq. *F >7s{ҤtwD_ſt.`0݊Z!n;ثPv·1'3)Fge9 .ez*Q/Vp<7MAu ?bS*<(ɩ鈇.];#UN_ % 0:^ w4  m"UN9 1u 72 0c.hp LaserJet 1300 PCL 5e,,,,0(9 Z6Times New Roman RegularX($USUS.,3oH2 a1:i+003|xU(9 Z 6Times New Roman Regular3#37=CIQYag1.a.i.(1)(a)(i)1)a) i)(;3$2#  0  .3  0  !USUS.,  _HH  Unit11Objectives:NeonatalandObstetricalTransfusionPractice   u  X`XXX "3"  32#  1  .3  0    Define"neonatalperiod".3@݌$$ Ќ  "3"  32#  2  .3  0    Define"iatrogenicbloodloss".3"݌$$ Ќ  "3"  32#  3  .3  0    Describehowhospitalbloodbanksprovideredbloodcelltransfusionstominimize ! donor  exposuretoinfants.3 ݌l$$ Ќ  "3"  322#  4  .3  0    Explainthereasonforallowingtheuseofaunitofbloodfor28daysforinfants.32_݌X$$ Ќ  "3"  3N2#  5  .3  0    Statethereasonforpoortissueoxygenationintheinfantafterbirth.3N{݌D t$$ Ќ  "3"  3^2#  6  .3  0    Statethelifespanofafetalredcell.3^݌0 `$$ Ќ  "3"  3O2#  7  .3  0    Statethetypeofhemoglobinfoundinafetalredcell.3O|݌ L $$ Ќ  "3"  3O2#  8  .3  0    Describethe"physiologicanemiaofinfancy".3O|݌ 8 $$ Ќ  "3"  3E 2#  9  .3  0    Describethetypesofinfantsrequiringtransfusion.3E r ݌ $ $$ Ќ  "3 "  3B 2#  10  .3  0    Describethephysiologicalproblemscausedby:hypovolemia,bonemarrowresponse,hypothermia    andimmatureimmunesysteminneonates.3B o ݌ $$ Ќ  "3 "  3 2#  11  .3  0    NamethemajorimmunoglobulinclassresponsibleforHemolyticDiseaseoftheNewborn(HDN).3 ݌ $$ Ќ  "3 "  3 2#  12  .3  0    Describethediseasegraftversushostdisease,includingthecause.3 ݌ $$ Ќ  "3 "  3 2#  13  .3  0    Statetheprocedureperformedondonorbloodforintrauterinetransfusionstopreventthe  occurrencefograftversushostdisease.3 ݌|$$ Ќ  "3 "  382#  14  .3  0    List3physiologicproblemswhichmayoccurininfantswithRespiratoryDistressSyndrom(_RDS_) h orsepsiswhichmayincreaseoxygenaffinityofhemoglobin.38e݌T$$ Ќ  "3"  32#  15  .3  0    List4organsystemswhichmaybedysfunctionalduetoaninfantacquiringa_CMV_Ԁinfection.3݌@p$$ Ќ  "3"  32#  16  .3  0    Brieflydescribethecause(etiology).  3B݌,\$$ Ќ  "3"  32#  17  .3  0    Describetheconsequencesofthecoatingoffetalredbloodcellswithmaternalantibody.3B݌H$$ Ќ  "3"  382#  18  .3  0    Describethemetabolismofbilirubinpreandpostdeliveryandtheproblemsitcauses.38e݌4$$ Ќ  "3"  3Y2#  19  .3  0    Nametheliverenzymewhichinfantsaredeficientinwhichisresponsibleforconjugating   bilirubin.3Y݌ $$ Ќ  "3"  32#  20  .3  0    Statethecriticalbilirubinlevelinneonateswhichmaynecessitateanexchangetransfusion.3݌$$ Ќ  "3"  32#  21  .3  0    DescribeindetailthethreeclassificationofHDN,listingtheminseverityoforderandthe  causativeantibody.3݌$$ Ќ  "3"  32#  22  .3  0    Describethemechanisminvolvedinimmunizationofthemotherduringpregnancy.3>݌$$ Ќ  "3"  3*2#  23  .3  0    List7ways(otherthandelivery)thatamothermaybecomesensitizedto_rbc_Ԁantigensduring x pregnancy.3*W݌d$$ Ќ  "3"  32#  24  .3  0    ExplaintheimportanceoftransfusingDnegativewomenwithDnegativeblood,granulocytesor P   platelets.3݌2#  52  .3  0    DefineRhImmuneGlobulin(RhIG),includingthestandarddoseandamountofbleedcovered.3>>݌$$ Ќ  "34"  3?2#  53  .3  0    Brieflyexplainwhyanante_partum_ԀdoseofRhIGisgiventoDnegwomenat28weeks.3?@݌$$ Ќ  "35"  3*A2#  54  .3  0    ListthreecategoriesofwomenwhoarenotRhIGcandidates.3*AWA݌$$ Ќ  "36"  3/B2#  55  .3  0    ExplainwhysomeDnegwomenmighthavedetectablecirculatingantiDintheirpostpartum  sampleandhowitisdeterminedwhetherornottheantibodypresent3/B\B݌x$$ Ќ    ispassivelyacquired. d "37"  3C2#  56  .3  0    ExplainwhyabloodsamplemustbedrawnpriortotheadministrationofantenatalRhIG.3CD݌P  $$ Ќ  "38"  3E2#  57  .3  0    StatethetimeperiodinwhichpostnatalRhIGisgiven.3E0E݌"  3L2#  63  .3  0    Describetheprocedurewhichshouldbefollowedwhenmorethan5vialsofRhIGmustbegiven.#X`XX X`#