Neonatology

Neonatology Test 21

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Cartes-fiches	26
Langue	English
Catégorie	Médecine
Niveau	Université
Crée / Actualisé	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

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

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

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

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

Prematurity

Maternal diabetes

Asphyxia

The use of antenatal steroids

C section delivery

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

Intracranial calcifications are prominent sign in infants with cingenital

a) Rubella

b) Toxoplasmosis

c) Syphilis

d) Cytomegalovirus infection

b and d are true

Neonatal screeening test include

Hypthyroidism

21 metabolic problems - amino acids and lipids metabolic disorders

Cystic fibrosis

Pulsoxymetric test

All of the above

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

Irregular breathing

Hypothermia

Cyanosis

Hepatosplenomegaly

All of the above

Skin alternations typical for the neonates

a) milia

b) erythema toxicum

c) macular hemangioma

a and c correct

all of the above

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

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

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

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

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

To estimate the state of the baby after delivery we use

Dubowitz scale

Apgar scale

Silvermann scale

Kramer scale

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

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

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

Defibrilation

Chest compressions

Positive-pressure ventilation (PPV)

Epinephrine

Opening the airway

meconium aspiration is most common in?

term and postterm newborn

CPR after delivery how many compressions & breaths per min

90compr. + 30 breaths

definition of preterm

under 37 weeks of gestational age

criterias of APGAR score?

grimace, HR, appearance, activity, respirations

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

HR, breathing, muscle tone

Administration of drugs

umbilical vein

aggressive pharnygeal suctioning causes ?

all of above

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