Perinatal Flashcards
After a normal pregnancy a male infant is born by normal vaginal delivery to a 17 year old primigravida. One minute after birth the infant has a heart rate of 80 beats per minute, gives irregular gasps, has blue hands and feet but a pink tongue. The infant has some muscle tone but does not respond to stimulation. At 5 minutes the infant’s heart rate is 120 beats per minute and is breathing well. The tongue is pink but the hands and feet are still blue. The infant moves actively and cries well.
The Apgar score at 1 minute is: (Choose the correct answer.)
a. 2
b. 4
c. 3
d. 5
e. 6
b. 4
After a normal pregnancy a male infant is born by normal vaginal delivery to a 17 year old primigravida. One minute after birth the infant has a heart rate of 80 beats per minute, gives irregular gasps, has blue hands and feet but a pink tongue. The infant has some muscle tone but does not respond to stimulation. At 5 minutes the infant’s heart rate is 120 beats per minute and is breathing well. The tongue is pink but the hands and feet are still blue. The infant moves actively and cries well.
After one minute the attending midwife should do the following: (Choose the most appropriate answer.)
a. Give chest compressions
b. Give the infant face mask ventilation
c. Suction the infant vigorously
d. Give the infant Narcan
e. Intubate and ventilate the infant
b. Give the infant face mask ventilation
After a normal pregnancy a male infant is born by normal vaginal delivery to a 17 year old primigravida. One minute after birth the infant has a heart rate of 80 beats per minute, gives irregular gasps, has blue hands and feet but a pink tongue. The infant has some muscle tone but does not respond to stimulation. At 5 minutes the infant’s heart rate is 120 beats per minute and is breathing well. The tongue is pink but the hands and feet are still blue. The infant moves actively and cries well.
After 5 minutes the infant should be: (Choose the most appropriate answer.)
a. Given a glucose water feed
b. Taken to the nursery for observation
c. Taken to the nursery for bathing
d. Given intravenous fluids
e. Put on the mother’s chest
e. Put on the mother’s chest
The male infant described in the previous three questions has a gestational age of 40 weeks and weighs 2800 g. Three days after birth he weighs 2500g. His mother is complaining of painful nipples and sore breasts.
Which of the following represents the most appropriate response?
a. The infant has lost too much weight and should be formula fed
b. The infant should be admitted to the nursery so that his mother can get some rest
c. The infant needs intravenous fluids
d. His mother needs breastfeeding advice and support
e. It is likely he is not feeding well because he is too small
d. His mother needs breastfeeding advice and support
Which of the following statements is part of the “Ten steps to successful breasfeeding”?
Choose one correct response only.
a. Give newborn infants formula if there is weight loss.
b. Mothers should breastfeed for the first time after their infant has been bathed
c. Discourage breastfeeding on demand.
d. Encourage the use of dummies, teats and nipple shields.
e. Allow mothers and their infants to remain together all the time from delivery to discharge.
e. Allow mothers and their infants to remain together all the time from delivery to discharge.
Which one of the following women are at the most increased risk of transmiting HIV to their fetus:
a. A woman who is pregnant for the first time
b. A woman who becomes infected with HIV during pregnancy.
c. A woman who was infected with HIV before she fell pregnant
d. A woman who has had a previous pregnancy
e. A woman who has Tuberculosis
b. A woman who becomes infected with HIV during pregnancy.
Which one of the following options is most appropriate for the HIV positive mother who wishes to reduce the chance of her infant becoming infected:
a. Exclusively formula feed
b. Feed the infant breast milk in the nursery but convert to formula at home
c. Give clear feeds fro the first 48 hours.
d. Practice safe sex
e. Breast feed but give formula while mother is at work
a. Exclusively formula feed
An infant is born at 40 weeks and weighs 2800 g. — Choose match
Post term infant Low birth weight Small for gestational age Term, appropriate birth weight Preterm infant Infant of a diabetic mother Inappropriate for gestational age Wasted infant IUGR
Small for gestational age
An infant is born to a 35 year old G3 P2 mother. She was noted at antenatal clinic on two occasions to have glycosuria. The infant’s birthweight at term is 4600g — Choose match
Post term infant Low birth weight Small for gestational age Term, appropriate birth weight Preterm infant Infant of a diabetic mother Inappropriate for gestational age Wasted infant IUGR
Infant of a diabetic mother
An infant with a birthweight of 2600 g has a gestational age of 36 weeks. — Choose match
Post term infant Low birth weight Small for gestational age Term, appropriate birth weight Preterm infant Infant of a diabetic mother Inappropriate for gestational age Wasted infant IUGR
Appropriate birth weight
A woman who defaults from the antenatal clinic in the last month of pregnancy delivers vaginally at 42,5 weeks. There is some meconium staining of the liquor. The infant is actively suctioned before delivery of the shoulders. He does not need resuscitation. He is noted to have long finger nails. He has a birth weight between the 10th and 90th centiles. — Choose match
Post term infant Low birth weight Small for gestational age Term, appropriate birth weight Preterm infant Infant of a diabetic mother Inappropriate for gestational age Wasted infant IUGR
Post term infant
An infant is born at 39 weeks gestation and weighs 2400g. His head circumference and length plots on the 50th centile for gestational age. His skin is dry and his legs appear thin. — Choose match
Post term infant Low birth weight Small for gestational age Term, appropriate birth weight Preterm infant Infant of a diabetic mother Inappropriate for gestational age Wasted infant IUGR
Wasted infant
A young couple consult you about pregnancy. They are healthy, have a normal sex life and are not using contraception. They hope to become parents and ask you when the best time is to book for antenatal care. When would you advise her from the list below?
A. When she is 3 months pregnant (12 to 14 weeks)
B. When she misses a period
C. When she has missed her second period
D. When she first feels fetal movements
C. When she has missed her second period
The abdominal examination gives the best assessment of the duration of pregnancy when carried out at which one of the opt1111ions below? A. From 8 to 12 weeks B. From 14 to 18 weeks C. From 28 to 32 weeks D. From 32 to 38 weeks
B. From 14 to 18 weeks
A patient has been in the antenatal ward for a week with hypertension and proteinuria. She had a Caesarean Section for her only previous delivery. Control of her blood pressure has been reasonably good with antihypertensive agents and has reached 34 weeks gestation. She now presents with continuous abdominal pain and dark red vaginal bleeding. Her blood pressure is 160/100.
Which of the diagnoses below is the most likely? A. Show B. Abruption C. Placenta praevia D. Ruptured uterus
Memo: C. Placenta praevia
Might be: B. Abruption
