This document contains 6 multiple choice questions about neonatal resuscitation and management. The questions cover topics like appropriate initial steps for an infant born through meconium stained fluid, evaluation and management of an infant born to a mother with placental abruption, appropriate initial care for an infant born preterm at 27 weeks gestation, potential causes of neonatal seizures, appropriate next steps after an infant responds to initial resuscitation efforts, and determining the Apgar score for an infant with listed vital signs at birth.
This document contains 6 multiple choice questions about neonatal resuscitation and management. The questions cover topics like appropriate initial steps for an infant born through meconium stained fluid, evaluation and management of an infant born to a mother with placental abruption, appropriate initial care for an infant born preterm at 27 weeks gestation, potential causes of neonatal seizures, appropriate next steps after an infant responds to initial resuscitation efforts, and determining the Apgar score for an infant with listed vital signs at birth.
This document contains 6 multiple choice questions about neonatal resuscitation and management. The questions cover topics like appropriate initial steps for an infant born through meconium stained fluid, evaluation and management of an infant born to a mother with placental abruption, appropriate initial care for an infant born preterm at 27 weeks gestation, potential causes of neonatal seizures, appropriate next steps after an infant responds to initial resuscitation efforts, and determining the Apgar score for an infant with listed vital signs at birth.
This document contains 6 multiple choice questions about neonatal resuscitation and management. The questions cover topics like appropriate initial steps for an infant born through meconium stained fluid, evaluation and management of an infant born to a mother with placental abruption, appropriate initial care for an infant born preterm at 27 weeks gestation, potential causes of neonatal seizures, appropriate next steps after an infant responds to initial resuscitation efforts, and determining the Apgar score for an infant with listed vital signs at birth.
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MCQ for neonatolgy
Dr Varsha Atul Shah
1.During delivery of an infant who has an estimated gestational age of 42 weeks, you note that the amniotic fluid looks like pea soup and contains thick particles of meconium. Of the following, the MOST important initial step in resuscitation of the infant is to
A. dry the baby and stimulate if baby is flat
B. determine the Apgar score C. initiate tracheal intubation D. provide positive pressure ventilation E. suction the hypopharynx 2. A newborn is delivered by emergency cesarean section because of fetal distress following acute abruption of the placenta. The infant is resuscitated and transferred to the nursery. On physical examination, she appears pale, and her extremities are cold to touch. The capillary refill is 8 seconds. Results of an arterial blood gas analysis show a Po2 of 48 mm Hg. Of the following, the MOST likely additional finding is A. decreased bicarbonate concentration B. hypercalcemia C. hyperglycemia D. hyponatremia E. normal anion gap 3. An infant is born at 27 weeks' gestation following a pregnancy complicated by preterm labor that progressed despite administration of a tocolytic agent. Of the following, the most appropriate INITIAL management is to
A. measure transcutaneous oxygen saturation
B. perform endotracheal intubation C. place an umbilical arterial catheter D. place the infant in an open bed warmer E. provide nasal continuous positive airway pressure 4. Of the following, the condition that is MOST likely to present with seizures during the first 24 hours of life is A .fetal alcohol syndrome B .herpes simplex infection C. hypoxic-ischemic encephalopathy D. organic acidemia E. urea cycle defect 5. A term infant is placed under a radiant warmer, the skin is dried, and the oropharynx and nose are suctioned. After tactile stimulation, there is minimal respiratory effort, dusky color, and a heart rate of 86 beats/min. Bag/mask ventilation is performed for 30 seconds with 100% oxygen at a rate of 40 to 60 breaths/min. The heart rate increases to 100 beats/min. Of the following, the NEXT best step is to: A. administer sodium bicarbonate B. continue bag/mask ventilation at a rate of 20 to 40 breaths/min C .continue ventilation and begin chest compressions D. observes for spontaneous respiration and discontinues ventilation E. perform endotracheal intubation 6. At birth, a newborn infant is noted to have the following findings: heart rate 70/min, respiratory effort poor and irregular, limp, no reflex irritability, blue all over the body. The Apgar score of the baby at this point is