Flashcards

Flashcards 26 Flashcards
Students 2 Students
Language English
Level University
Created / Updated 25.01.2021 / 28.01.2021
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A procedure of delayed cord clamping means  Choose correct answer

Clamping the umbilical cord immediately after the birth of head or buttocks

Clamping the umbilical cord within 10-20 s after the birth of head or buttocks

Clamping the umbilical cord after more than 60s from birth in newborns not requiring resucitation

Recommended only for babies born by cesarean section

None of the above

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After a delivery a term infant experienced dyspnea and cyanosis and excess salivation. Pregnancy was complicated by polyhydramnios. The most likely diagnosis is

Choanal atresia

Pulmonary sequestration

Pierre Robin syndrome

Congenital diaphragmatic hernia

Esophageal atresia

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Circulatory support with chest compressions ... Choose the correct answer 

is effective only if the lungs have first been successfully inflated

give chest compressions if the heart rate is less than 60 beats min - 1 despite adequate ventilation

the recommended technique for providing chest compressions is with two thumbs over the lower sternum with the fingers encircling the torso and supporting the back

use 3:1 compressions to ventilation ratio

all of the above

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In term infant receiving resuscitation at birth with positive-pressure ventilation, it is the best to begin with

air

30% oxygen

100% oxygen

50% oxygen

none of the above

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Incidence of respiratory distress syndrome increase with all of the following except

Prematurity

Maternal diabetes

Asphyxia

The use of antenatal steroids

C section delivery

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Infants who weight 2500g or less at birht are called

Preterm newborns

Small for Gestation Age (SGA) infants

Low Birth Weight (LBW) infants

Babies with intrauterine Growth Restriction (IUGR)

Late - preterm infants

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Intracranial calcifications are prominent sign in infants with cingenital 

a) Rubella

b) Toxoplasmosis

c) Syphilis

d) Cytomegalovirus infection

b and d are true

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Neonatal screeening test include

Hypthyroidism

21 metabolic problems - amino acids and lipids metabolic disorders

Cystic fibrosis

Pulsoxymetric test

All of the above

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Of the follwoing, the clinical manifestaton of sepsis in infants is 

Irregular breathing

Hypothermia

Cyanosis

Hepatosplenomegaly

All of the above

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Skin alternations typical for the neonates 

a) milia

b) erythema toxicum

c) macular hemangioma

a and c correct

all of the above

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The cause of neonatal jaundice in newborns include

a) Deficiency or decreased glucuron transferase activity 

b) Deficiency or decreased beta-glucuronidase activity

c) High Hb concentration in the newborn in the first days of life 

d) High percentage of HbF in newborn erythrocytes 

a,c

b,c

a,b,c

a,c,d

all correct

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The factors predisposing to infection in a newborn are the following except

Prematurity

Delayed cord clamping

Congenital malformations

IUGR

Prelabor rupture of membranes >18 hours

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The healthy newborn infant should undergo a complete physical examination within

a) 24 hours of birth

b) 12 hours of birth

c) immediately after birth when Apgar score is 7 or less

d) before discharge

b and c is correct

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The most common causative pathogens of the neonatal pneumonia remain

Neisseria menigitides and Candida albicans

Staphylococcus aureus

Group B streptococcus adn Escherichia coli

Haemophilus influenzae

Proteus mirabilis and Haemophilus influenzae

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The TORCH complex is an acronym for a group of perinatal infections including all of the following conditions except

Toxoplasmosis

Rubella

Cytomegalovirus

Influenza

Herpes simplex virus

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To estimate the state of the baby after delivery we use

Dubowitz scale

Apgar scale

Silvermann scale

Kramer scale

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Which of neonates are likely to be needed resucitation

Babies with intrapartum evidence of significant fetal compromise

Babies delivering by C section

Babies delivering vaginally by the breech

Babies delivering before 35th week of gestation

All of the above

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Which of the following is most appropriate for treating hyperblirubinemia (11.2mg/dl) in a 3 week-old breast fed infant with normal growth and developmen

Phototherapy

Exchange transfusion

Phenobarbital

Replace breast milk by formula for 48 hou

None of the above

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Which of the following is not necessary for resuscitation in a newborn delivery

Defibrilation

Chest compressions

Positive-pressure ventilation (PPV)

Epinephrine

Opening the airway

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meconium aspiration is most common in?

term and postterm newborn

?

?

?

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CPR after delivery how many compressions & breaths per min

90compr. + 30 breaths

?

?

?

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definition of preterm

under 37 weeks of gestational age

?

?

?

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criterias of APGAR score?

grimace, HR, appearance, activity, respirations

?

?

?

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signs to look for when  rescucitation might be neeeded in  newborn?

HR, breathing, muscle tone

?

?

?

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Administration of drugs 

umbilical vein

?

?

?

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aggressive pharnygeal suctioning causes ?

all of above

?

?

?