[MS] Fetus

Question 1

What are known risk factors for neonatal mortality?

Answer 1

African American race, Caucasian infant less than 500 grams, male infant, prematurity, and congenital malformation (leading cause)

Question 2

What study is usually recommended for children with a single umbilical artery?

Answer 2

Renal ultrasound

Question 3

What are the typical scheduled prenatal events for the mother?

Answer 3

AFP level screen at 16-20 weeks. A screening ultrasound at 20 weeks. A glucose tolerance test and Rh testing at 28 weeks.

Question 4

What are the updated guidelines for Group B streptococcus in pregnancy?

Answer 4

Universal screening between 35 and 37 weeks. Treatment with Penicillin or Ampicillin prior to delivery if GBS-positive.

Question 5

What are the values and scores for APGAR scoring?

Answer 5

Heart Rate – Absent (0), less than 100 (1), greater than 100 (2).
Respiration – Absent (0), slow (1), good/crying (2)
Tone – Limp (0), some flexion (1), active motion (2)
Color – blue/pale (0), limbs pink (1) completely pink (2)
Reflex – None (0), grimmace (1), cough/sneeze (2)

Question 6

What is the correct size endotracheal tube for a:
A) less than 1kg infant?
B) 1-2kg infant?
C) greater than 2kg infant

Answer 6

A) 2.5mm
B) 3mm
C) 3.5mm

Question 7

What length endotracheal tube should be used for a:
A) 1kg infant?
B) 2kg infant?
C) 3kg infant?
D) 4kg infant?

Answer 7

A) 7cm
B) 8cm
C) 9cm
D) 10cm

Question 8

What is the rule(s) regarding chest compressions in newborns?

Answer 8

One-third the diameter of the chest, at a ratio of 3:1 with respirations, and a goal of 90:30 for a minute.

Question 9

What, using EAR FORM, is the predicted age of the baby:
A) Flat, shapeless ear?
B) Superior incurving starts?
C) Upper 2/3 incurving?
D) Well-defined incurving to lobe?

Answer 9

A) 24-33 weeks
B) 34-35 weeks
C) 36-38 weeks
D) Greater than 39 weeks

Question 10

What, using SOLE CREASES, is the predicted age of the baby:
A) No anterior creases?
B) 1-2 anterior creases?
C) 2-3 anterior creases?
D) Creases over the anterior 2/3?
E) Heel creases present?
F) Deep creases?

Answer 10

A) 24-31 weeks
B) 32-33 weeks
C) 34-35 weeks
D) 36-37 weeks
E) 38-41 weeks
F) Greater than 41 weeks

Question 11

What genetic abnormality is typically associated with aplasia cutis congenita?

Answer 11

Trisomy 13

Question 12

What are three findings associated with hypothyroidism infants?

Answer 12

Persistent posterior fontanelle, prolonged jaundice, and umbilical hernia.