Obstetrics Questions
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In which category of infants is the occurrence of hypoxic ischemic encephalopathy most frequently observed?A. Infants with low birth weightB. Preterm infantsC. Full-term infants
For which group of newborns does the AAP suggest the administration of Vitamin K shots?A. Only for neonates born to mothers with a history of drug useB. All neonatesC. Only for neonates with a birth weight of less than 2.5 kg
A neonate, born prematurely at 30 weeks, is about to be taken off the ventilator and shifted to nasal high-flow oxygen therapy. If the baby's weight is 1.4 kg, what should be the initial flow rate for the oxygen therapy?A. 2 L/minB. 3 L/minC 4 L/min
What is the maximum percentage of total caloric intake that lipids should represent in a parenteral infusate?A. 50% of total caloric intakeB. 25% of total caloric intakeC. 75% of total caloric intake
Which illnesses are included in the TORCH syndrome?A. Tuberculosis, osteoporosis, rubella, CMV, herpes simplexB. Toxoplasmosis, osteoporosis, rubella, CMV, herpes simplexC. Toxoplasmosis, rubella, CMV, herpes simplex, other diseases
What is the term used to describe the least severe type of intraventricular brain hemorrhage in a newborn?A. A germinal matrix hemorrhageB. Subdural hemorrhageC. Subarachnoid hemorrhage
What is the primary objective of allowing hypercapnia in the prevention of bronchopulmonary dysplasia or chronic lung disease in neonates?A. To stimulate the production of red blood cells in neonatesB. To increase the blood pressure in neonatesC. To circumvent the need for intubation and ventilation or to allow for a reduced tidal volume
A newborn baby has been diagnosed with sickle cell disease after being screened due to the family's history of the condition. As the baby grows older, the mother is worried about whether or he/she will be able to engage in regular sports activities. What would be the most suitable advice to give her?A. He/she can participate, but needs to be careful to avoid dehydration or overly strenuous exerciseB. He/she should avoid all forms of physical activity to prevent any complicationsC. He/she can participate in sports without any restrictions or precautions
What is the recommended course of action for a newborn if the amniotic fluid is found to be stained with meconium at the time of delivery?A. Standard neonatal resuscitation proceduresB. Administration of antibiotics immediatelyC. Immediate intubation and mechanical ventilation
The parents of a newborn baby are inquiring about PKU and its importance in the newborn screening process. What would be the most appropriate explanation to provide them?A. PKU is a minor condition that doesn't require immediate attentionB. PKU is a routine test that is not of much importance in the newborn screening processC. PKU is a potentially life-threatening condition, hence its screening is strongly advised
In the event of an IV medication extravasation, how many injections of hyaluronidase are typically administered around the edges of the IV insertion site?A. 7B. 3C. 5
Which option correctly indicates the suitable daily calorie intake for the corresponding baby?A. Healthy infant weighing 2500 g, fed 55 cc of expressed human milk via gavage every 3 hoursB. Healthy 2500 g infant receiving 65 cc expressed human milk by gavage every 2 hoursC. Healthy 2500 g infant receiving 45 cc expressed human milk by gavage every 4 hours
Which method is most effective for conducting a screening for critical congenital heart disease?A. Pulse oximeterB. Auscultation with a stethoscopeC. Blood pressure monitor
In a newborn baby diagnosed with neonatal abstinence syndrome, who is experiencing acute withdrawal from alcohol, within what time period should we expect to see the onset of signs and symtoms?A. 24-48 hours after birthB. 3-12 hours after birthC. 1-2 weeks after birth
In newborn babies, where is the primary site for the biotransformation or metabolism of medication?A. HeartB. LiverC. Kidneys
What would suggest that a newborn baby has an inguinal hernia instead of a hydrocele if he has a scrotal mass?A. The mass is only visible when the baby cries or strainsB. The mass disappears when the baby is calm and relaxedC. The mass can be diminished through applied pressure
When should a central line be suggested for the delivery of TPN, considering the duration of TPN is extended?A. 1 dayB. 7 daysC. 14 days
What is not considered a possible hazard when utilizing an extracorporeal membrane oxygenation (ECMO) device?A. Electrolyte imbalanceB. Infection from the ECMO circuitC. Hemorrhage from cannulation sites
What is the recommended timeframe for conducting a screening test for phenylketonuria (PKU)?A. 24 to 72 hoursB. Immediately after birthC. 1 to 2 weeks after birth
What should a NICU nurse do next after finding that a newborn's blood pressure is 64/40?A. Record the blood pressure as a normal reading and continue the assessment of the newbornB. Immediately started administering blood pressure medication to the newbornC. Call for a medical emergency due to the newborn's low blood pressure