Study Partner 196👨🏻‍⚕️👩🏻‍⚕️
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A male full term baby delivered vaginally is noted to be jaundiced at 20 hours, requiring intensive phototherapy, Maternal blood group is B positive while his blood group is O positive. On examination he is jaundiced, pale but is alert and active.
A 2.5kg male nconate presents with respiratory distress at 18 hours after birth. Pregnancy was uncomplicated but the mother had premature rupture of membranes for 20 hours before labor and did not receive parenteral antibiotics. The baby required intubation and mechanical ventilation
During resuscitation of an asphyxiated newborn by positive pressure ventilation via endotracheal intubation and chest compression, the heart rate increased to 80 bpm.

What is the most appropriate next step in management?
Anonymous Quiz
50%
Discontinue both chest compression and positive pressure ventilation
50%
Discontinue chest compression
0%
Discontinue positive pressure ventilation
0%
Remove the ETT
You are attending the emergency delivery by cesarean section. The gestation was complicated by hypertension. At birth, the baby has poor tone and minimal respiratory effort.

Which is the initial management in this baby?
Anonymous Quiz
33%
Begin tactile stimulation and provide free flow oxygen supplementation
33%
Warm, dry, stimulate, positioning + suction
0%
Initiate bag-mask ventilation
33%
Insert an umbilical catheter and administer naloxone
A term infant is placed under a radiant warmer, the skin is dried. After tactile stimulation, there is minimal respiratory effort, dusky color, and a heart rate of 86 beats/min. Bag and mask ventilation is performed for 30 seconds starting by 21% oxygen at a rate of 40 breaths/min.
During delivery of a 42 weeks gestational age baby, the amniotic fluid contains thick particles of meconium. The most important initial step in resuscitation of the infant is to?
Anonymous Quiz
0%
Aspirate the gastric contents
25%
Initiate endotracheal intubation
0%
Provide positive pressure ventilation
75%
Warm, dry, stimulate, positioning + suction
term male baby was born at 37 week gestation by cesarean section. At one minute postnatal, the neonate had no spontaneous respiration,heart rate of 80, had some flexion of extremities with acrocyanosis and no reflex irritability. one minute Apgar will be?
Anonymous Quiz
0%
0
100%
1
0%
3
0%
5
The most appropriate next step in managing a neonate 37 w, after warming, drying, stimulation and positioning yet no spontaneous respiration and HR 80?
Anonymous Quiz
0%
Chest compression
0%
IV epinephrine
100%
Positive pressure ventilation
0%
Umbilical line placement
During active labor, meconium staining of the amniotic fluid is noticed. Initial steps in the management of this newborn should include?
Anonymous Quiz
50%
Intubate the trachea and suction
50%
Stimulate and initiate positive pressure ventilation
0%
Suction the oropharynx if needed
0%
Umbilical line placement
A full-term neonate in resuscitation is dried, suctioned, and stimulated. The initial heart rate is less than 100/m and positive pressure ventilation is delivered with bag mask ventilation for 30 seconds, however his heart rate remains less than 100/m.
The infant of a 35-year-old female is seen with severe anemia. There is history of profuse vaginal bleeding during pregnancy. Physical examination reveals a pale, limp shocked infant.
Which volume expander from the following is not suitable to resuscitate this case?
Anonymous Quiz
0%
0.9% sodium chloride
100%
10% dextrose solution
0%
O-negative blood
0%
Residual placental blood
A full-term neonate is delivered by emergency cesarean section After 30 seconds of effective PPV then 60 seconds of co-ordinated chest compression; his heart rate is

still less than 60/m. The most appropriate next step is?
Anonymous Quiz
100%
Administer epinephrine and continue chest compressions
0%
Continue positive pressure ventilation
0%
Continue chest compressions
0%
Observation
A 5 day-old infant presents with large pale blue lesions over the buttocks. The lesion is not warm or raised. The mother denies trauma and reports that it has been present since birth. The most appropriate action is?
Anonymous Quiz
0%
Check platelets count
0%
Give plasma infusion
0%
Give vitamin K.
100%
Reassurance
A 3 day old girl presents with enlargement of both breasts, there is no tenderness or hotness. The most likely diagnosis is?
Anonymous Quiz
0%
Mastitis
43%
Neonatal gynecomastia
57%
Precocious puberty
0%
Premature thelarche
A 3-day-old girl is brought to her pediatrician. The mother states that while she is changing the diaper of her baby, she noticed a blood tinged mucous discharge. The most appropriate action is?
Anonymous Quiz
50%
Ask for history of trauma or sexual abuse
25%
Coagulation profile
0%
Complete blood picture
25%
Reassurance