Quiz 13: Trauma and bleeding Flashcards
What is a caput succedaneum?
A fracture of the skull
Scalp oedema
A bleed into the brain
A bleed into the abdomen
Scalp oedema
What is a cephalhaematoma?
A bleed into the subaponeurotic space of the scalp
A bleed into the subdural space
A bleed under the periosteum of the parietal bone
A bleed into the brain
A bleed under the periosteum of the parietal bone
What is the management of a cephalhaematoma?
Aspiration (removing the blood)
Application of a compression bandage
Antibiotics
Reassurance of the parents
Reassurance of the parents
A subaponeurotic haemorrhage:
May cross the midline.
Never crosses the midline.
Does not cause pallor and shock.
Is common.
May cross the midline.
A traumatic forceps delivery may cause:
A periventricular haemorrhage
Haemorrhagic disease of the newborn
Brachial palsy
Subaponeurotic haemorrhage
Subaponeurotic haemorrhage
A facial palsy:
Usually recovers spontaneously after a few days.
Usually only recovers after a few months.
Usually requires surgical decompression of the facial nerve.
Usually does not recover.
Usually recovers spontaneously after a few days.
In an infant with a facial palsy:
The infant is able to close the eye tightly on the side of the palsy.
The mouth pulls to the side of the palsy.
The mouth pulls away from the side of the palsy.
The infant is unable to suck.
The mouth pulls away from the side of the palsy.
A brachial palsy is most commonly seen in:
Preterm infants born by vaginal delivery
Large infants with impacted shoulders
Infants born by elective Caesarean section
Infants delivered by vacuum extraction
Large infants with impacted shoulders
What is the treatment of a brachial palsy?
Keep the arm above the head.
Passively move the arm a few times each day.
Strap the arm to the chest.
Treat pain with an analgesic (paracetamol).
Passively move the arm a few times each day.
Bruising of the face after delivery:
Is an important sign of brain haemorrhage.
Is an indication for urgent transferral to a hospital.
Is usually caused by haemorrhagic disease.
Is commonly caused by an umbilical cord wound tightly around the neck.
Is commonly caused by an umbilical cord wound tightly around the neck.
Thrombocytopaenia means:
Too few platelets in the blood
Too many platelets in the blood
A normal number but abnormal function of platelets in the blood
A decreased amount of clotting factors in the blood
Too few platelets in the blood
A decreased number of platelets in the blood may be caused by:
Hypoglycaemia
Preterm delivery
Septicaemia
Jaundice
Septicaemia
Antibodies can cross the placenta from the mother to the fetus and result in:
A low platelet count
An increased platelet count
A decreased level of clotting factors
An increased level of clotting factors
A low platelet count
Which drug can cross the placenta and cause bleeding in the infant at birth by decreasing the clotting factors?
Paracetamol (Panado)
Heparin
Warfarin
Penicillin
Warfarin
Disseminated intravascular coagulopathy (DIC) causes bleeding due to:
A decreased production of clotting factors
An increased consumption (using up) of clotting factors
A decreased production of platelets
Leaking blood vessels
An increased consumption (using up) of clotting factors
