Neonate

Question 1

Define perinatal mortality

Answer 1

Stillbirths plus neonatal deaths (under 7 days)

Question 2

Define neonatal death

Answer 2

Death of baby within 28 days of life

Question 3

Define postneonatal death

Answer 3

Death of baby after 28 days and before 1 year

Question 4

Define infant mortality

Answer 4

Death under age of 1 (not stillbirths)

Question 5

From 6 months infants receiving breast milk mainly should be given which vitamin supplemtents?

Answer 5

A, C and D

Question 6

Which protein is most abundant in mature breast milk?

Answer 6

whey

Question 7

Which fats are in mature breast milk

Answer 7

Omega-3 and omega-6 long chain polyunsaturated fatty acids

Question 8

What is the main carbohydrate in mature breast milk?

Answer 8

Lactose with trace amounts of other carbs

Question 9

What are the whey components

Answer 9

alpha-lactalbumin, serum albumin, lactoferrin, immunoglobulins, lysozyme

Question 10

Describe vitamin composition of mature breast milk

Answer 10

Low vit D

Adequate Vit C, B

Question 11

Describe composition of formula milk

Answer 11

Lactose only carb
More whey to casein
Whey components are beta-lactoglobulin and alpha-lactalbumin
Adequate vitamins
Similar minerals to breast milk

Question 12

What is the calorific requirements for neonate

Answer 12

increase initially after birth then increase slowly first 2 weeks to reach 100-120 kcal/kg.day

Question 13

Risks of total parenteral nutrition

Answer 13

Sepsis, complications (trombosis), hyperammonaemia, hypercholaemic acidosis, cholestatic jaundic, trace element deficiency