NICU MCQ
Baby after emergency c phase, calculate APGARS: acrocyanosis, grimace, no tone, pulse
<a hundred, irregular breathing.
A. 2
B. Three
C. 4
D. 5
C. Four
acro (1)
grimace (1)
no tone (0)
pulse <one hundred (1)
irregular respiration (1)
Hamilton:
During your postnatal ward spherical at a busy Canadian degree II centre, in which of those
scenarios are you least likely to endorse breastfeeding?
A. Mother is HIV high-quality on antiretroviral medicines
B. Mother is COVID-19 nice
C. Mother has a history of Hepatitis B obtained in adolescence
D. Mother is in a methadone application and drug monitors are constantly negative for other
substances
A. Mother is HIV wonderful on antiretroviral medicines
Hamilton:
Which of the following is a correct affiliation determined inside the neonate?
A. Maternal Graves disorder - hyperthyroidoism
B. Maternal diabetes mellitus - hyperglycemia
C. Maternal hyperparathyroidism - hyponatremia D. Maternal SLE - supraventricular
tachycardia
E. Maternal vitamin D deficiency - hypercalcemia
A. Maternal Graves disorder - hyperthyroidoism
B. Maternal diabetes mellitus - HYPOglycemia
,C. Maternal hyperparathyroidism - HyPOcalcemia
D. Maternal SLE - Heart block
E. Maternal diet D deficiency - hypOcalcemia in babe
Hamilton:
Which of the subsequent constellations of capabilities BEST describes fetal alcohol
syndrome?
A. Elfin facies, irritability, and supra-valvular aortic stenosis
B. Growth deficiency, microcephaly, developmental delay, short palpebral fissures
C. IUGR, triangular-shaped face, clinodactyly
D. Short stature, webbed neck, pulmonic stenosis
E. Weakness, club feet, tented mouth, insufficient respirations
B. Growth deficiency, microcephaly, developmental postpone, brief palpebral fissures
A. William's
C: Russel Silver
D: Noonan (pulmonic stenosis)
E. Congenital myotonia
Hamilton:
You are counseling a mother who is involved that her infant will need respiratory guide.
Which of the subsequent is NOT a hazard issue for the development of respiratory distress
at beginning?
A. This is a triplet pregnancy
B. Mother's HbA1c is 9%
C. Mother reports heroin use
D. Mother's previous two infants had been born at 30 weeks and 28 weeks gestation
E. Mother has been on a stable dose of SSRI during this being pregnant
C. Mother reports heroin use
Hamilton:
Which of the subsequent is correct regarding intrauterine increase restriction (IUGR)?
A. It is commonly associated with methadone use in pregnancy
B. IUGR babies at increased risk of hemolytic sickness because of ABO incompatibility
,C. IUGR infants can be discovered to have leukocytosis and multiplied CRP because of
in-utero infection
D. IUGR infants can be discovered to have polycythemia and thrombocytopenia on blood
smear
D. IUGR infants can be observed to have polycythemia and thrombocytopenia on blood
smear
Hamilton:
Which of the following is a accurate association?
A. Oesophageal atresia - oligohydramnios
B. IUGR - oligohydramnios
C. Posterior urethral valves - polyhydramnios
D. Renal agenesis - polyhydramnios
B. IUGR - oligohydramnios
Hamilton:
Which of the following is correct regarding Vitamin K inside the newborn?
A. Is an essential cofactor for the synthesis of coagulation elements II, VIII, IX, X
B. Is effectively transported throughout the placenta
C. Is present in cow's milk at better concentration than in breast milk
D. Oral dose after transport and at 4 weeks prevents hemorrhagic disorder of the newborn
C. Is found in cow's milk at higher awareness than in breast milk
Hamilton:
In a wholesome infant the transition from fetal to neonatal stream includes:
A. Closure of the ductus venosus, (becoming the ligamentum of teres), the fetal connection
from the umbilical arteries
B. Functional closure of the foramen ovale in response to expanded left atrial stress
C. Blood flow in the ductus arteriosis persevering with to shunt proper to left until it closes
D. The ductus arteriosus remaining in reaction to lowering Pa02
B. Functional closure of the foramen ovale in response to accelerated left atrial strain
Hamilton:
Which of the following is a accurate affiliation of pasteurized human donor milk (PHDM) in
infants: A. PHDM improves feeding tolerance however extends duration of live for you to
transition off donor milk B. PHDM improves brief term linear boom in preterm babies <28
weeks
C. PHDM improves time to full feeds and shortens duration of stay in clinic, with a lower in
breastfeeding charges at time of discharge
, D. Pasteurizing human milk deactivates bacterial and viral contaminants however
additionally decreases positive Immunoglobulins and denatures proteins; resulting in slower
linear increase
D. Pasteurizing human milk deactivates bacterial and viral contaminants however also
decreases positive Immunoglobulins and denatures proteins; ensuing in slower linear
increase
We have an expert-written method to this trouble!
Hamilton:
Which of the subsequent is least probable to be picked up using pulse oximetry screening?
A. Pulmonary atresia with intact septum
B. Total anomalous pulmonary venous go back
C. Truncus arteriosus
D. Complete atrioventricular septal disorder
D. Complete atrioventricular septal disorder
Hamilton:
Which of the following perinatal control strategies is least powerful at reducing brain damage
inside the preterm?
A. Antenatal steroids for mothers vulnerable to preterm labour <34+6 weeks and Magnesium
sulphate for mothers liable to preterm labour < 33+6 weeks
B. Treatment of chorioamnionitis with penicillin + macrolide in moms <32+6 weeks with
PPROM
C. Delayed umbilical cord clamping from 30-a hundred and twenty seconds and healing
hypothermia if infant meets standards A/B + C for hypoxic ischemic encephalopathy
D. Vasopressors in hypotension and prophylactic indomethacin to close the patent ductus
arteriosis E. Ventilation: volume centered, target PCO2 forty five-55 mmHg (avoid <35 and >
60) in 1st seventy two hours
C. Delayed umbilical cord clamping from 30-one hundred twenty seconds and healing
hypothermia if child meets criteria A/B + C for hypoxic ischemic encephalopathy
Hamilton:
forty one week infant, meconium at delivery. Now at 60 mins, she is making spontaneous
breathing efforts with large work of breathing on masks CPAP PEEP 7 in one hundred%
FiO2. Saturations are 88% and she or he has peripheral IV get admission to. Cap gas is:
7.16/65/36/17. Your subsequent step is to:
A. Obtain an pressing CXR to evaluate for meconium aspiration syndrome
B. Intubate the usage of sedation and muscle rest
Baby after emergency c phase, calculate APGARS: acrocyanosis, grimace, no tone, pulse
<a hundred, irregular breathing.
A. 2
B. Three
C. 4
D. 5
C. Four
acro (1)
grimace (1)
no tone (0)
pulse <one hundred (1)
irregular respiration (1)
Hamilton:
During your postnatal ward spherical at a busy Canadian degree II centre, in which of those
scenarios are you least likely to endorse breastfeeding?
A. Mother is HIV high-quality on antiretroviral medicines
B. Mother is COVID-19 nice
C. Mother has a history of Hepatitis B obtained in adolescence
D. Mother is in a methadone application and drug monitors are constantly negative for other
substances
A. Mother is HIV wonderful on antiretroviral medicines
Hamilton:
Which of the following is a correct affiliation determined inside the neonate?
A. Maternal Graves disorder - hyperthyroidoism
B. Maternal diabetes mellitus - hyperglycemia
C. Maternal hyperparathyroidism - hyponatremia D. Maternal SLE - supraventricular
tachycardia
E. Maternal vitamin D deficiency - hypercalcemia
A. Maternal Graves disorder - hyperthyroidoism
B. Maternal diabetes mellitus - HYPOglycemia
,C. Maternal hyperparathyroidism - HyPOcalcemia
D. Maternal SLE - Heart block
E. Maternal diet D deficiency - hypOcalcemia in babe
Hamilton:
Which of the subsequent constellations of capabilities BEST describes fetal alcohol
syndrome?
A. Elfin facies, irritability, and supra-valvular aortic stenosis
B. Growth deficiency, microcephaly, developmental delay, short palpebral fissures
C. IUGR, triangular-shaped face, clinodactyly
D. Short stature, webbed neck, pulmonic stenosis
E. Weakness, club feet, tented mouth, insufficient respirations
B. Growth deficiency, microcephaly, developmental postpone, brief palpebral fissures
A. William's
C: Russel Silver
D: Noonan (pulmonic stenosis)
E. Congenital myotonia
Hamilton:
You are counseling a mother who is involved that her infant will need respiratory guide.
Which of the subsequent is NOT a hazard issue for the development of respiratory distress
at beginning?
A. This is a triplet pregnancy
B. Mother's HbA1c is 9%
C. Mother reports heroin use
D. Mother's previous two infants had been born at 30 weeks and 28 weeks gestation
E. Mother has been on a stable dose of SSRI during this being pregnant
C. Mother reports heroin use
Hamilton:
Which of the subsequent is correct regarding intrauterine increase restriction (IUGR)?
A. It is commonly associated with methadone use in pregnancy
B. IUGR babies at increased risk of hemolytic sickness because of ABO incompatibility
,C. IUGR infants can be discovered to have leukocytosis and multiplied CRP because of
in-utero infection
D. IUGR infants can be discovered to have polycythemia and thrombocytopenia on blood
smear
D. IUGR infants can be observed to have polycythemia and thrombocytopenia on blood
smear
Hamilton:
Which of the following is a accurate association?
A. Oesophageal atresia - oligohydramnios
B. IUGR - oligohydramnios
C. Posterior urethral valves - polyhydramnios
D. Renal agenesis - polyhydramnios
B. IUGR - oligohydramnios
Hamilton:
Which of the following is correct regarding Vitamin K inside the newborn?
A. Is an essential cofactor for the synthesis of coagulation elements II, VIII, IX, X
B. Is effectively transported throughout the placenta
C. Is present in cow's milk at better concentration than in breast milk
D. Oral dose after transport and at 4 weeks prevents hemorrhagic disorder of the newborn
C. Is found in cow's milk at higher awareness than in breast milk
Hamilton:
In a wholesome infant the transition from fetal to neonatal stream includes:
A. Closure of the ductus venosus, (becoming the ligamentum of teres), the fetal connection
from the umbilical arteries
B. Functional closure of the foramen ovale in response to expanded left atrial stress
C. Blood flow in the ductus arteriosis persevering with to shunt proper to left until it closes
D. The ductus arteriosus remaining in reaction to lowering Pa02
B. Functional closure of the foramen ovale in response to accelerated left atrial strain
Hamilton:
Which of the following is a accurate affiliation of pasteurized human donor milk (PHDM) in
infants: A. PHDM improves feeding tolerance however extends duration of live for you to
transition off donor milk B. PHDM improves brief term linear boom in preterm babies <28
weeks
C. PHDM improves time to full feeds and shortens duration of stay in clinic, with a lower in
breastfeeding charges at time of discharge
, D. Pasteurizing human milk deactivates bacterial and viral contaminants however
additionally decreases positive Immunoglobulins and denatures proteins; resulting in slower
linear increase
D. Pasteurizing human milk deactivates bacterial and viral contaminants however also
decreases positive Immunoglobulins and denatures proteins; ensuing in slower linear
increase
We have an expert-written method to this trouble!
Hamilton:
Which of the subsequent is least probable to be picked up using pulse oximetry screening?
A. Pulmonary atresia with intact septum
B. Total anomalous pulmonary venous go back
C. Truncus arteriosus
D. Complete atrioventricular septal disorder
D. Complete atrioventricular septal disorder
Hamilton:
Which of the following perinatal control strategies is least powerful at reducing brain damage
inside the preterm?
A. Antenatal steroids for mothers vulnerable to preterm labour <34+6 weeks and Magnesium
sulphate for mothers liable to preterm labour < 33+6 weeks
B. Treatment of chorioamnionitis with penicillin + macrolide in moms <32+6 weeks with
PPROM
C. Delayed umbilical cord clamping from 30-a hundred and twenty seconds and healing
hypothermia if infant meets standards A/B + C for hypoxic ischemic encephalopathy
D. Vasopressors in hypotension and prophylactic indomethacin to close the patent ductus
arteriosis E. Ventilation: volume centered, target PCO2 forty five-55 mmHg (avoid <35 and >
60) in 1st seventy two hours
C. Delayed umbilical cord clamping from 30-one hundred twenty seconds and healing
hypothermia if child meets criteria A/B + C for hypoxic ischemic encephalopathy
Hamilton:
forty one week infant, meconium at delivery. Now at 60 mins, she is making spontaneous
breathing efforts with large work of breathing on masks CPAP PEEP 7 in one hundred%
FiO2. Saturations are 88% and she or he has peripheral IV get admission to. Cap gas is:
7.16/65/36/17. Your subsequent step is to:
A. Obtain an pressing CXR to evaluate for meconium aspiration syndrome
B. Intubate the usage of sedation and muscle rest
