newborn infant/ resuscitation/ prematurity/ IUGR/ ROP/ Maternal medications & toxin exposure

Question 1

The following disorders are associated with a large anterior fontanel, EXCEPT:
A. Achondroplasia
B. Congenital Rubella Syndrome
C. Down's Syndrome
D. Osteogenesis Imperfecta
E. Vitamin A deficiency

Answer 1

E. vitamin A deficiency

Question 2

Leukokoria in a newborn suggests:
A. Cataracts
B. Retinopathy of prematurity
C. Tumors
D. All of the above

Answer 2

D. All of the above

Question 3

Major causes of neonatal mortality in fullterm newborn, EXCEPT:
A. Congenital anomalies
B. Birth asphyxia
C. Trauma
D. Infection
E. Necrotizing enterocolitis

Answer 3

E. Necrotizing enterocolitis

Question 4

The following are major causes of neonatal mortality in preterm newborn

A. Congenital anomalies
B. Infection
C. Necrotizing enterocolitis
D. All of the above
E. A and C only

Answer 4

D. All of the above

Question 5

Generalized edema of the newborn may occur in the following conditions, EXCEPT”;
A. Prematurity
B. Hypoproteinemia secondary to severe erythroblastosis fetalis
C. Congenital nephrosis
D. Turner Syndrome
E. Hurler Syndrome

Answer 5

D. Turner Syndrome

Question 6

Temporary accumulations of epithelial cells on the hard palate in newborns is known as

Answer 6

Epstein pearls

Question 7

Soft areas in the occipital region suggest the irregular calcification and wormian bone formation associated with the following conditions, EXCEPT:
A. Osteogenesis imperfecta
B. Lacunar skull
C. Cretinism
D. Cleidocranial dysostosis
E. Turner Syndrome

Answer 7

Turner Syndrome

Question 8

The following are common PE findings in the newborn, EXCEPT:
A. Epstein pearls
B. Breast hypertrophy
C. Acrocyanosis
D. Craniotabes
E. None of the above

Answer 8

E. None of the above

Question 9

Persistently small fontanels are suggestive of the following conditions, except:
A. Microcephaly
B. Craniosynostosis
C. Congenital hypothyroidism
D. Wormian bones
E. None of the above

Answer 9

Congenital hypothyroidism

The persistently small fontanels suggest microcephaly, craniosynostosis, congenital HYPERTHYROIDISM, or wormian bones.

Question 10

single umbilical artery in a newborn infant increases the risk for

Answer 10

Occult renal anomaly

Question 11

The initial steps of management for all newborns after delivery are:
A. Evaluate respiratory effort
B. Drying
C. Place in the mother's abdomen
D. Provide warmth
E. All of the above

Answer 11

E. All of the above

Question 12

Vermix is spontaneously shed within:

Answer 12

2-3 days

Question 13

The optimal method of maintaining temperature in the stable newborn is

Answer 13

Skin to skin contact with the mother

Question 14

Delayed clamping of the umbilical cord is recommended because of the following

Answer 14

A. Improve transitional circulation
B. Increase neonatal red blood cell volume
C. Prevents intraventricular hemorrhage in preterms

Question 15

The initial steps of management for all newborns after delivery are

Answer 15

A. Evaluate respiratory effort
B. Drying
C. Place in the mother’s abdomen
D. Provide warmth

Question 16

Criteria for discharge of healthy newborns are the following, EXCEPT:
A. Normal vital signs
B. Regular urination
C. At least 1 uneventful successful feedings
D. Evidence fo parental knowledge, ability and confidence to care for the baby
E. None of the above

Answer 16

C. At least 1 uneventful successful feedings

Question 17

which can be given with caution to breastfeeding mothers

Answer 17

Metoclopromide

Question 18

contraindicated in breastfeeding

Answer 18

A. Amphetamines
C. Clozapine
C. Cocoaine
D. Heroin

Question 19

The following maternal conditions are contraindications to breastfeeding, except:
A. Human T-cell lymphocytic virus types 1 and 2
B. Active Tuberculosis
C. Herpesvirus infection on the breast
D. Hepatitis B Infection
E. None of the above

Answer 19

D. Hepatitis B Infection

Question 20

20. The following factors are associated with high risk pregnancy, EXCEPT:
    A. Poverty
    B. Ilicit drug use
    C. Short stature
    D. Short interpregnancy interval <12 months between pregnancy
    E. None of the above

Answer 20

D. Short interpregnancy interval <12 months between pregnancy

Question 21

Oligohydramnios is associated with the following conditions, EXCEPT:
A. Twin-twin transfusion (donor)
B. Prune-belly syndrome
C. Pulmonary hypoplasia
D. Amnion Nodosum
E. Diaphragmatic hernia

Answer 21

E. Diaphragmatic hernia

Diaphragmatic hernia is a complication of polyhydramnios

Question 22

The most serious complication of chronic oligohydramnios is

Answer 22

Pulmonary hypoplasia

Question 23

Polyhydramnios is associated with the following conditions, EXCEPT:
A. Spina bifida
B. Trisomy 18
C. Hydrops fetalis
D. Barter Syndrome
E. Prune-belly syndrome

Answer 23

E. Prune-belly syndrome

Question 24

most common congenital infection in the newborn is

Answer 24

CMV

Question 25

``` Maternal diabetes increases the risk of the following conditions in the newborn, EXCEPT: A. Hypoglycemia B. Hypercalcemia C. Respiratory Distress Syndrome D. Polycythemia E. Myocardial dysfunction ```

Answer 25

B. Hypercalcemia

Question 26

Widely shaped nipple with shield-like chest in a newborn is associated with

Answer 26

Turners Syndrome

Question 27

``` Elevated maternal serum alpha protein concentration is associated with the following conditions, EXCEPT: A. Trisomies B. Neural Tube Defects C. Intestinal Atresia D. Nephrosis E. Hepatitis ```

Answer 27

A. Trisomies

Question 28

``` Intake of isotretinoin during pregnancy is associated with the following conditions in the newborn, EXCEPT: A. Facial-ear anomalies B. Heart disease C. CNS Anomalies D. Virilization E. None of the above ```

Answer 28

D. Virilization

Question 29

Cerebral atrophy in newborns is associated with maternal exposure during pregnancy to:

Answer 29

Carbon monoxide

Question 30

Intake of the which of the following drug during pregnancy is associated with deafness in the newborn?

Answer 30

Chloroquine

Question 31

Which of the following agent can cause cutis laxa syndrome in the newborn when taken during pregnancy?

Answer 31

Penicillamine

Question 32

``` Chronic heroin use during pregnancy is associated with an increased risk of the following conditions in the newborn, EXCEPT: A. Fetal growth restrictions B. Placental abruption C. Congenital malformations D. Intrauterine passage of meconium E. None of the above ```

Answer 32

C. Congenital malformations

Question 33

``` The following are major causes of neonatal morbidities associated with prematurity, EXCEPT: A. Bronchopulmonary dysplasia B. Necrotizing enterocolitis C. Intraventricular hemorrhage D. Retinopathy of prematurity E. Apnea ```

Answer 33

E. Apnea

Question 34

``` Pyloric stenosis is an effect of which of the following drugs when administered to premature infants A. Amphotericin B. Tetracycline C. Erythromycin D. Furosemide E. Chloramphenicol ```

Answer 34

Erythromycin

Question 35

``` The following are late sequelae of prematurity, EXCEPT: A. Retinopathy of prematurity B. Bronchopulmonary dysplasia C. Necrotizing enterocolitis D. Seizures E. Pulmonary hypertension ```

Answer 35

necrotizing enterocolitis may occur as an immediate sequelae of prematurity

Question 36

``` The following are the neonatal effects of maternal systemic lupus erythematosus during pregnancy , EXCEPT: A. Congenital heart block B. Thrombocytopenia C. Anemia D. Hypoalbuminemia E. None of the above ```

Answer 36

D. Hypoalbuminemia

Question 37

The ratio of compression to ventilation in newborn during resuscitation is

Answer 37

90 compressions: 30 breaths per minute

Question 38

Micrognathia, cleft palate and airway obstruction in newborns are associated with which of the following condition:

Answer 38

Pierre Robin syndrome

Question 39

``` Which of the following vitamins are recommended in preterm infants? A. Vitamin C B. Vitamin A C. Folic Acid D. All of the above E. B and C only ```

Answer 39

D. All of the above

Question 40

What should be the first intervention after delivery in a newborn who is not breathing? A. Suction the mouth and nose B. Dry and stimulate the baby C. Initiate breathing by bag-mask ventilation D. Initiate chest compression

Answer 40

B. Dry and stimulate the baby