Quiz 2: Assessing gestational age and size at birth

Question 1

Gestation is measured from:

The day of conception

The day the mother first feels fetal movement

The first day of the mother’s last normal menstrual period

The day of the mother’s first developed symptoms of pregnancy

Answer 1

The first day of the mother’s last normal menstrual period

Question 2

What is the average gestational age at birth?

37 weeks
38 weeks
40 weeks
42 weeks

Answer 2

40 weeks

Question 3

An infant with a gestational age of 37 weeks is called:

Term
Preterm
Postterm
Low birth weight

Answer 3

Term

Question 4

A preterm infant is defined as an infant with a gestational age:

Less than 35 weeks
Less than 36 weeks
Less than 37 weeks
Less than 38 weeks

Answer 4

Less than 37 weeks

Question 5

Postterm infants have a gestational age of:

42 weeks or more
41 weeks or more
40 weeks or more
38 weeks or more

Answer 5

42 weeks or more

Question 6

The gestational age can be estimated after delivery by:

Weighing the infant

Measuring the infant’s head circumference

Measuring the infant’s haemoglobin concentration

Examining the infant’s physical features and assessing the neurological behaviour

Answer 6

Examining the infant’s physical features and assessing the neurological behaviour

Question 7

Infants that are born preterm have an increased incidence of:

Meconium aspiration syndrome

Wasting

Hypothermia

Pyrexia

Answer 7

Hypothermia

Question 8

Which of the following infants should have their weight measured after delivery?

Infants that appear to be preterm

Infants that are wasted

Infants that appear clinically ill

All infants

Answer 8

All infants

Question 9

Postterm infants are at an increased risk of:

Hyaline membrane disease
Anaemia
Feeding difficulties
Birth trauma

Answer 9

Birth trauma

Question 10

Most newborn infants weigh between:

2000 g and 2500 g
2500 g and 4000 g
3500 g and 4000 g
4000 g and 4500 g

Answer 10

2500 g and 4000 g

Question 11

Low birth weight infants weigh:

Less than 3000 g
Less than 2500 g
Less than 2000 g
Less than 1500 g

Answer 11

Less than 2500 g

Question 12

Most infants have a birth weight that falls:

Above the 90th centile

Between the 10th and 90th centiles

Below the 10th centile

Below the 3rd centile

Answer 12

Between the 10th and 90th centiles

Question 13

Infants that are underweight for gestational age have a birth weight that falls:

Below the 90th centile

Between the 10th and 90th centiles

Below the 10th centile

Below the 3rd centile

Answer 13

Below the 10th centile

Question 14

Overweight for gestational age infants are often born to mothers with:

Hypertension
Syphilis
Rubella
Diabetes

Answer 14

Diabetes

Question 15

Intra-uterine growth restriction usually results in:

Only weight below the 10th centile at birth

Both weight and head circumference below the 10th centile at birth

Only head circumference below the 10th centile

Postterm delivery

Answer 15

Both weight and head circumference below the 10th centile at birth

Question 16

Wasting in the newborn infant is usually the result of:

Infection

Fetal undernutrition in the last weeks of pregnancy

Preterm delivery

Maternal diabetes

Answer 16

Fetal undernutrition in the last weeks of pregnancy

Question 17

Loose, wrinkled, dry skin and loss of muscle in an infant at birth suggests:

Wasting
Preterm delivery
Rhesus disease
Septicaemia

Answer 17

Wasting

Question 18

Infants that are wasted at birth:

Are usually overweight for gestational age

Are always postterm

May be appropriate for gestational age at term

Are always low birth weight

Answer 18

May be appropriate for gestational age at term

Question 19

Wasted infants are at an increased risk of:

Hypoglycaemia

Birth trauma

Hyaline membrane disease

Infection

Answer 19

Hypoglycaemia

Question 20

Which of the following is the best predictor of problems in the neonatal period?

Gestational age alone

Weight alone

Weight for gestational age

Gestational age together with weight for gestational age

Answer 20

Gestational age together with weight for gestational age