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.
Which of the following does not contribute to the worsening of the baby's condition?
Anonymous Quiz
0%
Anatomic obstruction
100%
Mask is not held tightly on face
0%
Excessive neck flexion
0%
Head in midline position
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?
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
The most likely diagnosis for the condition in the previous question is?
Anonymous Quiz
0%
Hemorrhagic disease of the newborn
0%
Hemophilia
100%
Mongolian spots
0%
Neonatal purpura
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
An 18-year-old female at 33 weeks gestation with pre-eclampsia, delivered baby's birth weight is 1450 g (<10th percentile), crown-heel length is 38 cm (10th percentile), and head circumference is 30 cm (50th percentile). The most likely complication is?
Anonymous Quiz
0%
Neonatal pneumonia
0%
Hyperglycemia
0%
Meconium aspiration
100%
Perinatal asphyxia
A full term newborn baby was delivered by normal vaginal delivery On examination; this baby had a diffuse edematous swelling of the soft tissues of the scalp extending across the suture lines. The most likely diagnosis is?
Anonymous Quiz
67%
Caput succedaneum
17%
Cephalhematoma
17%
Moulding
0%
Subdural hematorna
A male infant is 35 weeks. at birth is: weight, 1,200 g (less than 10th percentile); crown-heel length, 45 cm (50th percentile); and head circumference, 31.5 cm (50th percentile), the most likely explanation for the growth pattern of this infant is?
Anonymous Quiz
0%
Chromosomal abnormality
33%
Congenital viral infection
17%
Gestational diabetes
50%
Pregnancy-induced hypertension
A 4.3 kg infant is delivered to a woman whose diabetes mellitus is poorly controlled. Of the following, the most likely neonatal complication of maternal diabetes is?
Anonymous Quiz
33%
Diabetic ketoacidosis
33%
Hirschsprung disease
0%
Hypercalcemia
33%
Polycythemia
A 3-day-old infant presenting with jaundice, the baby's direct serum bilirubin is 0.2 mg/dl, with a total serum bilirubin of 11.8 mg/dl. Both the mother and baby have O-positive group, the infant's white cell count is 13.000/uL with normal differential count the hemoglobin is 15 g/dl, and the platelet count is 278.000/Ul. Reticulocyte count is 1.5%.
Which of the following is the most likely cause?
Anonymous Quiz
0%
Biliary atresia
33%
Congenital spherocytic anemia
50%
Physiologic jaundice
17%
Rh or ABO hemolytic disease
A 3-week-old infant breast fed, developed jaundice, first noticed 12 days ago. On examination, he is active with good sulking. Total bilirubin: 8 mg/dl; direct bilirubin 4.5 mg/dl. The most likely diagnosis is?
Anonymous Quiz
43%
Biliary atresia
43%
Breast milk jaundice
14%
Congenital hypothyroidism
0%
Sepsis