Obgyn Ch 9 Immediate Care Of The Newborn

Front 1

Which of the following clincal circumstances has a higher-than-usual risk of the need for neonatal resuscitation?

Back 1

all of the above (cesarean delivery, suspected fetal anomaly, maternal fever, and multiple gestation)

Front 2

Approximately what percent of cesarean deliveries may require the need for neonatal resuscitation personnel?

Back 2

5%

Front 3

In what position is the infant placed in the warming unit?

Back 3

Supine, with the head lowered, turned to one side

Front 4

Which of the following are examples of mild stimulation to the newborn?

Back 4

all of the above (suctioning, rubbing the back, and slapping the feet)

Front 5

Which of the following statements regarding the Apgar score is an accurate reflection of its proper use?

Back 5

The 1-minute Apgar score identifies newborns requiring special attention

Front 6

Mild-to-moderate depression of the newborn is defined as Apgar scores of

Back 6

4 to 7

Front 7

Causes of neonatal asphyxia may include

Back 7

all of the above (trauma, severe maternal disease, and decreased uteroplacental blood flow)

Front 8

The management of a term infant born by vaginal delivery almost immediately on arrival in the labor unit who is covered with meconium fluid, is limp with a heart rate of 100, and has only a grimace, should include which of the following?

Back 8

Intubation

Front 9

In the neonate, scalp hair that is coarse suggests an estimated gestational age greater than how many weeks?

Back 9

39 weeks

Front 10

In the neonate's ear lobe that lacks cartilage suggests a gestational age below how many weeks?

Back 10

36 weeks

Front 11

At 37 to 38 weeks' gestation, a neonate's breast nodule is expected to be about how many milimeters?

Back 11

4 mm

Front 12

Which of the following describes the sole creases on teh feet of a 39-week neonate?

Back 12

There are extensive creases covering the entire sole

Front 13

Which of the following is the correct management of the umbilical cord stump in a newborn?

Back 13

Keep uncovered to expose it to air

Front 14

What percent of newborns will pass stool within the first 24 hours of life?

Back 14

90%

Front 15

Which of the following are characteristics of normal stool in the first 2 to 3 days of life?

Back 15

all of the above (greenish-brown in color, sterile, and odorless)

Front 16

Which of the following statements regarding newborn weight loss is correct?

Back 16

Preterm newborns lose relatively more weight than their term counterparts

Front 17

Application of silver nitrate is designed to prevent

Back 17

conjunctivitis

Front 18

Physiologic jaundice of the newborn occurs in what proportion of all newborns?

Back 18

1 in 3

Front 19

Jaundice becomes clinically apparent in the newborn when bilirubin levels reach what level?

Back 19

5 mg/dL

Front 20

Meconium-stained amniotic fluid is encountered in what percent of gestations?

Back 20

10 to 15%

Front 21

The most meaninful assessment of metabolic status of the baby at the time of deliver is through analysis of blood gases from the

Back 21

umbilical artery

Front 22

About what proportion of infants born with meconium in the amniotic fluid will have meconium in the lungs?

Back 22

1/3

Front 23

About what proportion of infants born with meconium in the amniotic fluid will develop significant respiratory distress?

Back 23

1/10

Front 24

Immediate intubation and suctioning should be performed under what circumstances when there is thin meconium-stained amniotic fluid?

Back 24

Only when warranted by the clinical judgement of the delivering physician and/or pediatrician attending the delivery

Front 25

The scrotum of newborn males of >39 weeks' gestational age is characterized by

Back 25

extensive rugae

Front 26

In the fetal circulation, the highest PO2 is contained in the

Back 26

umbilical vein

Front 27

Fetal cord blood gases most closely represent the condition in the baby at the

Back 27

end of the second stage of labor

Front 28

Which of the following is the most useful initial arterial cord blood value to manage the acidotic newborn?

Back 28

Base deficit

Front 29

When is the gastrointestinal tract of the newborn first colonized by normal bacterial flora?

Back 29

At 12 hours of life

Front 30

Currently, the most effective newborn prophylaxis to prevent opthalmia neonatorum is

Back 30

silver nitrate

Front 31

Ioterus neonatorum is most often caused by

Back 31

reabsorption of free bilirubin from the fetal intestine