Newborn Transition

1. Neonatal hypocalcemia may occur in the first days of life, especially in infants who are: A. Preterm, infants of diabetic mothers or those who had birth asphyxia B. Term breastfed infants with no risk factors C. Over 1 year old D. Postmature only Correct Answer: A. Preterm, infants of diabetic mothers or those who had birth asphyxia Rationale: Abrupt loss of maternal calcium supply and immature parathyroid function contribute. It can cause jitteriness and seizures. 2. Excessive heat f...

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34 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Fetal pulmonary vascular resistance is high because: A. The lungs are fully aerated B. The foramen ovale is closed C. The fetus breathes air D. The lungs are filled with fluid and the vessels are constricted in a low-oxygen environment Correct Answer: D. The lungs are filled with fluid and the vessels are constricted in a low-oxygen environment Rationale: Fluid-filled, unexpanded lungs and low oxygen keep pulmonary vessels constricted, directing blood through the fetal shunts. Aeratio...

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34 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Delayed cord clamping in a term newborn increases: A. Placental transfusion, improving iron stores and blood volume B. The risk of hypothermia in all cases C. Rates of cerebral palsy D. Lung fluid Correct Answer: A. Placental transfusion, improving iron stores and blood volume Rationale: Additional blood from the placenta improves iron status in infancy and supports transition. It may modestly increase jaundice but does not cause cerebral palsy. 2. The umbilical cord normally contains...

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35 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Apical heart rate in a newborn is auscultated: A. At the radial pulse for 15 seconds B. At the neck only C. Over the abdomen D. For a full minute at the point of maximal impulse, about the fourth intercostal space left of the sternum Correct Answer: D. For a full minute at the point of maximal impulse, about the fourth intercostal space left of the sternum Rationale: The apical pulse is most accurate in newborns, and a full minute captures irregularities. Radial pulses are difficult ...

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34 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Transition from fetal to neonatal life is generally completed over: A. The first several hours, with some changes continuing for days to weeks B. The first 5 seconds C. The first year D. It never occurs Correct Answer: A. The first several hours, with some changes continuing for days to weeks Rationale: Major cardiopulmonary changes occur quickly, but shunt closure and metabolic adaptation continue. Transition is not instantaneous or a year long. 2. Stimuli that help initiate the newb...

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34 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Under the 2022 AAP guideline, phototherapy thresholds are determined by: A. The infant's age in hours, gestational age and the presence of neurotoxicity risk factors B. Only the infant's weight C. Only the mother's age D. Only skin color Correct Answer: A. The infant's age in hours, gestational age and the presence of neurotoxicity risk factors Rationale: Hour-specific nomograms adjusted for gestational age and risk factors guide treatment. Weight, maternal age and color a...

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35 páginas

Escrito en 2026/2027

Grado A+

TheePlug

1. Central cyanosis in a newborn is: A. Normal for the first week B. Limited to the hands and feet C. Bluish color of the lips, tongue and trunk, indicating low oxygen saturation, and requires immediate evaluation D. Caused by cold hands only Correct Answer: C. Bluish color of the lips, tongue and trunk, indicating low oxygen saturation, and requires immediate evaluation Rationale: Central cyanosis signals hypoxemia from respiratory or cardiac causes. Peripheral cyanosis is limited to e...

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34 páginas

Escrito en 2026/2027

Grado A+

TheePlug

Newborn Transition: Exam 3 - Questions with Correct Answers 2 Exam (elaborations) Newborn Transition: Final Exam (Comprehensive) - Questions with Correct Answers 3 Exam (elaborations) Newborn Transition: Midterm Exam (Units 1-7) - Questions with Correct Answers

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7 artículos

TheePlug

Newborn Transition: Final Exam (Comprehensive) - Questions with Correct Answers 3 Exam (elaborations) Newborn Transition: Midterm Exam (Units 1-7) - Questions with Correct Answers 4 Exam (elaborations) Newborn Transition: Exam 1 - Questions with Correct Answers 5 Exam (elaborations) Newborn Transition: Exam 2 - Quest

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5 artículos

TheePlug