PREMATURITY
POSTMATURITY
LAB VALUES
INTERVENTIONS
MISCELLANEOUS
100
Early sign of respiratory distress
Tachypnea; retractions; grunting
100
What is the difference between post term and post dated?
>42 weeks = Post term >40 weeks = Post dated
100
Proportion of L:S ratio considered appropriate for lung maturity is 1:2 1:4 2:1 4:1
2:1
100
An infant has the following findings at 5 minutes of life: pulse 130 bpm, cyanotic hands and feet, good muscle tone, and a strong cry and grimace. This infant Apgar score is: 7 8 9 10
9
100
A 3600-g, breast-fed female, 42 weeks’ GA, is noted to have persistent hyperbilirubinemia at 2 weeks of age. On examination, the infant has not gained weight since birth and has decreased tone, an umbilical hernia, and an anterior fontanel measuring 4 x 6 cm. The most likely diagnosis is 1.Crigler-Najjar syndrome 2.Gilbert disease 3.Biliary atresia 4.Hypothyroidism 5.Galactosemia
Hypothyroidism
200
The single greatest risk factor for necrotizing enterocolitis is
Prematurity
200
Aspiration of this causes pneumonia in post terms
Meconium
200
A serum value of <2.6mmol/L (45mg/dl) is indicative of this disorder PKU Hypouricemia Hypoglycemia Hypocalcemia
Hypoglycemia
200
The triggering mechanism that has become the standard of care in neonatal synchronized ventilation involves a.) Airflow trigger b.) Esophageal probe c.) Pressure trigger d.) Surface capsule e.) Thoracic impedance
a.) Airflow trigger
200
Normal findings in a newborn baby includes all of the following Except 1.A mongolian blue spot 2.A strawberry nevus 3.Vaginal blood loss 4.Lanugo hair 5.Erythema toxicum
A strawberry nevus
300
Incidence of respiratory distress syndrome increases with all of the following Except 1.Prematurity 2.Maternal diabetes 3.Black race 4.Male gender 5.Cesarean section delivery
Black race
300
A post mature baby has normal Length and head circumference but this is decreased - Abdominal circumference / chest circumference / weight / CRL
Weight
300
polycythemia exists when the hct value is greater than 55 60 65 70
65
300
The most typical inspiratory-to-expiratory time used with high-frequency oscillatory ventilation is a.) 1:2 b.) 1:3 c.) 1:4 d.) 1:5
a.) 1:2
300
Approximately 10% of infants born with congenital diaphragmatic hernia (CDH) have significant heart defects. The most common congenital heart defect associated with CDH is a.)Aortic arch obstruction b.)Tetralogy of Fallot c.)Total anomalous pulmonary venous return d.)Transposition of the great arteries e.)Ventricular septal defect
Ventricular septal defect
400
The distribution of surfactant in the lungs is most efficient when surfactant is administered a.)After a period of mechanical ventilation b.)As an aerosolized preparation c.)At a slow rate of infusion d.)At birth in the presence of fetal lung fluid e.)Using a smaller volume of the drug
At birth in the presence of fetal lung fluid
400
In order to adapt towards a degenerating placenta, neonate ensures oxygenation by Decreased activity Hypotonia Polycythemia hyperextension and passage of meconium
Polycythemia
400
A newborn baby has profound thrombocytopenia. The causes include all of the following Except a.)Cytomegalovirus infection b.)Autoimmune neonatal thrombocytopenia c.)Maternal ingestion of warfarin d.)Alloimmune neonatal thrombocytopenia e.)Gram-negative septicemia
Maternal ingestion of warfarin
400
?A 2-week old preterm neonate (30 weeks) is experiencing recurrent episodes of apnea. The infant is well-oxygenated in room air between episodes and has no clinical or radiographic evidence of lung disease. Mechanical ventilation using the strategy of volume guarantee is started. The most appropriate positive end-expiratory pressure in this infant is a.) 0 cm H2O b.) 3 cm H2O c.) 5 cm H2O d.) 8 cm H2O
b.) 3 cm H2O
400
The causes for failure to pass meconium in the first 24 hours of life include? (two options) 1. Cystic fibrosis 2. Hyperthyroidism 3. Hirschsprung’s disease 4. Hiatus hernia 5. Galactosemia
Cystic fibrosis; Hirschsprung’s disease
500
The most critical determinant?of ventilator-induced lung injury in preterm neonates is excessive a.)Airway pressure b.)Gas flow c.)Oxygen concentration d.)Tidal volume e.)Time constant
Tidal volume
500
You are called to the delivery of a boy at 42 weeks’ GA with thick meconium-stained fluid and type II decelerations. The obstetrician rapidly delivers the baby and hands him to you. The boy hypotonic, cyanotic, apneic, and bradycardic. The most appropriate action is to 1.Stimulate the infant to breath 2.Administer epinephrine 3.Provide positive-pressure bag-and-mask ventilation 4.Intubate and provide positive-pressure ventilation 5.Intubate and apply negative-pressure suction
Intubate and apply negative-pressure suction
500
Direct-reacting hyperbilirubinemia on the 10th day of life suggests all of the following Except a.)Cystic fibrosis b.)Galactosemia c.)Neonatal hepatitis d.)Gilbert disease
Gilbert disease
500
A preterm baby of 30 week’s gestation is intubated and ventilated. On the 2nd day of life he suddenly deteriorates. The differential diagnosis includes all except a.) An intraventricular hemorrhage b.) A blocked endotracheal tube c.) A pulmonary hemorrhage d.) Pneumonia e.) Self-extubation
Pneumonia
500
The most common limb defect associated with amniotic bands is a.)Amputation of digits b.)Congenital arthrogryposis c.)Preaxial polydactyly d.)Proximal syndactyly e.)Single bones in extremities
Amputation of digits
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