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

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

1
Q 
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
A

E. vitamin A deficiency

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2
Q 
Leukokoria in a newborn suggests:
A. Cataracts
B. Retinopathy of prematurity
C. Tumors
D. All of the above
A

D. All of the above

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3
Q 
Major causes of neonatal mortality in fullterm newborn, EXCEPT:
A. Congenital anomalies
B. Birth asphyxia
C. Trauma
D. Infection
E. Necrotizing enterocolitis
A

E. Necrotizing enterocolitis

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4
Q

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
A

D. All of the above

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5
Q

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

A

D. Turner Syndrome

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6
Q

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

A

Epstein pearls

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7
Q 
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
A

Turner Syndrome

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8
Q 
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
A

E. None of the above

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9
Q 
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
A

Congenital hypothyroidism

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

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10
Q

single umbilical artery in a newborn infant increases the risk for

A

Occult renal anomaly

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11
Q 
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
A

E. All of the above

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12
Q

Vermix is spontaneously shed within:

A

2-3 days

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13
Q

The optimal method of maintaining temperature in the stable newborn is

A

Skin to skin contact with the mother

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14
Q

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

A

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

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15
Q

The initial steps of management for all newborns after delivery are

A

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

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16
Q

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

A

C. At least 1 uneventful successful feedings

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17
Q

which can be given with caution to breastfeeding mothers

A

Metoclopromide

18
Q

contraindicated in breastfeeding

A

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

19
Q

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

A

D. Hepatitis B Infection

20
Q
  1. 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
A

D. Short interpregnancy interval <12 months between pregnancy

21
Q 
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
A

E. Diaphragmatic hernia

Diaphragmatic hernia is a complication of polyhydramnios

22
Q

The most serious complication of chronic oligohydramnios is

A

Pulmonary hypoplasia

23
Q 
Polyhydramnios is associated with the following conditions, EXCEPT:
A. Spina bifida
B. Trisomy 18
C. Hydrops fetalis
D. Barter Syndrome
E. Prune-belly syndrome
A

E. Prune-belly syndrome

24
Q

most common congenital infection in the newborn is

A

CMV

25
Q 
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
A

B. Hypercalcemia

26
Q

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

A

Turners Syndrome

27
Q 
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
A

A. Trisomies

28
Q 
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
A

D. Virilization

29
Q

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

A

Carbon monoxide

30
Q

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

A

Chloroquine

31
Q

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

A

Penicillamine

32
Q 
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
A

C. Congenital malformations

33
Q 
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
A

E. Apnea

34
Q 
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
A

Erythromycin

35
Q 
The following are late sequelae of prematurity, EXCEPT:
A. Retinopathy of prematurity
B. Bronchopulmonary dysplasia
C. Necrotizing enterocolitis
D. Seizures
E. Pulmonary hypertension
A

necrotizing enterocolitis may occur as an immediate sequelae of prematurity

36
Q 
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
A

D. Hypoalbuminemia

37
Q

The ratio of compression to ventilation in newborn during resuscitation is

A

90 compressions: 30 breaths per minute

38
Q

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

A

Pierre Robin syndrome

39
Q 
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
A

D. All of the above

40
Q

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

A

B. Dry and stimulate the baby

WISE (21 decks)

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