A 7-day-old term female infant presented to the outpatient clinic for routine checkup. Mother stated that her daughter was not breast feeding adequately. Her present weight is 3.2 kg while her birth weight was 3.4 kg. Physical examination was unremarkable.
Which of the following is the next step in the management?
Anonymous Quiz
0%
Give high caloric formula
50%
Reassurance and continue breast feeding
25%
Start bottle feeding
25%
Start IV hydration
A 2-hour-old full-term neonate has episodes of cyanosis. When they try to feed him, his oxygen level drops to 60%. But when he is cries, his oxygen levels increases above 90%. Which of the following should be done to diagnose this case?
Anonymous Quiz
0%
Bronchoscopic evaluation of palate and larynx.
40%
Echocardiogram
0%
Hemoglobin electrophoresis
60%
Passage of catheter into nose
newborn has hepatosplenomegaly, purpuric rash, jaundice, thrombocytopenia, and microcephaly. Computed tomography of the head showed cerebral calcifications.
Which of the following is the most diagnostic test for this case?
Which of the following is the most diagnostic test for this case?
Anonymous Quiz
0%
Abdominal Ultrasound
20%
CBC, CRP
0%
Organic acids in urine
80%
TORCH Screen
A full term male baby with birth weight of 4.7 kg is born by elective caesarean section. His mother has uncontrolled diabetes mellitus.
Which of the following should be done in the initial management of this case?
Which of the following should be done in the initial management of this case?
Anonymous Quiz
0%
Call the laboratory to collect a PKU screening test
100%
Check the baby's serum glucose level
0%
Clean the umbilical cord with Betadine to prevent infection
0%
Order an urgent echo to exclude congenital heart disease
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.
Which of the following is the most likely cause of jaundice in this baby?
Anonymous Quiz
0%
ABO incompatibility
17%
Breast milk jaundice
50%
G6PD deficiency
33%
Physiological jaundice
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
What is the most probable cause for respiratory distress in this neonate?
Anonymous Quiz
17%
Pneumothorax
83%
Early onset sepsis
0%
Transient tachypnea of newbom
0%
Meconium aspiration
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?
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?
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.
The heart rate increases to 100 beats/minute What should be the next step?
Anonymous Quiz
50%
Administer sodium bicarbonate
0%
Continue bag/mask ventilation at a rate of 20 to 40 breaths/min
0%
Continue ventilation and begin chest compressions
50%
Observe for spontaneous respiration and withdraw PPV gradually
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.