Quiz 3: The routine care of normal infants Flashcards

1
Q

What is a normal infant?

An infant that weighs more than 2000 g.

An infant that has a 1 minute Apgar score above 5.

A infant born by normal vertex delivery.

An infant that appears well and is at low risk of problems.

A

An infant that appears well and is at low risk of problems.

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2
Q

What type of care is needed by a normal infant?

Primary care at a level 1 clinic

Special care if the infant is born in a level 2 hospital

The infant does not need medical or nursing care

Care in hospital

A

Primary care at a level 1 clinic

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3
Q

When should the umbilical cord be clamped?

After the newborn infant has taken a few breaths

Immediately

At 5 minutes after delivery

After the placenta has been delivered

A

After the newborn infant has taken a few breaths

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4
Q

When should the infant be given to the mother?

After the mother has had a chance to sleep

As soon as possible

When the placenta has been delivered

It does not matter when the infant is given to the mother

A

As soon as possible

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5
Q

When should the infant be put to the breast?

When the infant is first given to the mother.

After the infant has received a clear feed.

When the mother has recovered from the delivery and has returned to the postnatal ward.

After the infant has been bathed.

A

When the infant is first given to the mother.

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6
Q

Which infants should receive vitamin K after delivery?

Only preterm infants

Only infants with a low Apgar score

Only infants who have had a traumatic or difficult delivery

All infants

A

All infants

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7
Q

What should be placed in the eyes of infants after birth?

Nothing

Sterile water to remove meconium or vernix

Antibiotic ointment

Colostrum

A

Antibiotic ointment

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8
Q

Which infants should room in with their mothers?

Only infants whose mothers have a private ward

Only infants who weigh more than 2500 g

All infants

All normal infants

A

All normal infants

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9
Q

When should a normal infant receive the first bath?

Immediately after delivery

Before the infant leaves the labour ward

Only after 1 week

Before the infant is discharged home

A

Before the infant is discharged home

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10
Q

What routine cord care is needed?

The cord should be painted daily with gentian violet.

Antibiotic powder should be put on the cord twice a day.

The cord should be cleaned with surgical spirits 6 hourly.

The cord should be washed with soap and water every day.

A

The cord should be cleaned with surgical spirits 6 hourly.

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11
Q

How much weight is lost after birth by a normal infant?

A normal infant should not lose any weight.

Up to 5% of the birth weight

Up to 10% of the birth weight

Up to 25% of the birth weight

A

Up to 10% of the birth weight

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12
Q

Infants should regain their birth weight by:

Day 1
By day 3
By day 5
By 10 days

A

By day 5

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13
Q

When should a normal infant be weighed?

At birth and then again on days 3, 5 and 7 if the infant is still in hospital

Twice a day until discharge

Before and after every feed

There is no need to weigh a normal infant.

A

At birth and then again on days 3, 5 and 7 if the infant is still in hospital

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14
Q

Which infants should receive a ‘road-to-health’ card?

All infants

Only infants born in hospital

Only infants who have problems in the perinatal period

Only infants whose mothers cannot regularly attend the local clinic

A

All infants

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15
Q

What is the clinical significance of a white vaginal discharge in a newborn infant?

It indicates a vaginal infection with Trichomonas.

It should be treated with antibiotics.

It is a sign of congenital syphilis.

It is normal.

A

It is normal.

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16
Q

What is the importance of enlarged breasts at birth?

They are abnormal and indicate a hormonal imbalance.

They are normal in girls but abnormal in boys.

They are normal only if the breasts return normal by 1 week.

They are normal in girls and boys and may last for a few months.

A

They are normal in girls and boys and may last for a few months

17
Q

A blue patch on the lower back is caused by:

Bruising at delivery

A Chinese father

The normal migration of pigment cells in the skin

Down syndrome

A

The normal migration of pigment cells in the skin

18
Q

What is the correct management of an infant that is born with a tooth?

Pull the tooth out.

Leave the tooth and let it fall out by itself.

Remove the tooth if it is very loose and only attached by a thread of tissue.

The infant should be referred to a dentist.

A

Remove the tooth if it is very loose and only attached by a thread of tissue.

19
Q

What is the treatment of ‘tongue tie’ in a newborn infant?

No treatment is needed.

Treatment is needed if the infant feeds poorly.

The membrane under the tongue should be cut by the nursery staff.

The infant should be referred to a level 2 or 3 hospital.

A

No treatment is needed.

20
Q

Which infants can safely be discharged home from hospital or clinic?

All infants who are able to suck

Infants who have not been given Konakion

Healthy infants who are more than 6 hours old

Well infants who weigh more than 1500 g

A

Healthy infants who are more than 6 hours old