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31 Cards in this Set
- Front
- Back
Which of the following clincal circumstances has a higher-than-usual risk of the need for neonatal resuscitation?
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all of the above (cesarean delivery, suspected fetal anomaly, maternal fever, and multiple gestation)
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Approximately what percent of cesarean deliveries may require the need for neonatal resuscitation personnel?
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5%
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In what position is the infant placed in the warming unit?
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Supine, with the head lowered, turned to one side
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Which of the following are examples of mild stimulation to the newborn?
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all of the above (suctioning, rubbing the back, and slapping the feet)
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Which of the following statements regarding the Apgar score is an accurate reflection of its proper use?
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The 1-minute Apgar score identifies newborns requiring special attention
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Mild-to-moderate depression of the newborn is defined as Apgar scores of
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4 to 7
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Causes of neonatal asphyxia may include
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all of the above (trauma, severe maternal disease, and decreased uteroplacental blood flow)
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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?
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Intubation
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In the neonate, scalp hair that is coarse suggests an estimated gestational age greater than how many weeks?
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39 weeks
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In the neonate's ear lobe that lacks cartilage suggests a gestational age below how many weeks?
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36 weeks
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At 37 to 38 weeks' gestation, a neonate's breast nodule is expected to be about how many milimeters?
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4 mm
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Which of the following describes the sole creases on teh feet of a 39-week neonate?
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There are extensive creases covering the entire sole
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Which of the following is the correct management of the umbilical cord stump in a newborn?
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Keep uncovered to expose it to air
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What percent of newborns will pass stool within the first 24 hours of life?
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90%
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Which of the following are characteristics of normal stool in the first 2 to 3 days of life?
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all of the above (greenish-brown in color, sterile, and odorless)
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Which of the following statements regarding newborn weight loss is correct?
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Preterm newborns lose relatively more weight than their term counterparts
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Application of silver nitrate is designed to prevent
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conjunctivitis
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Physiologic jaundice of the newborn occurs in what proportion of all newborns?
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1 in 3
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Jaundice becomes clinically apparent in the newborn when bilirubin levels reach what level?
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5 mg/dL
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Meconium-stained amniotic fluid is encountered in what percent of gestations?
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10 to 15%
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The most meaninful assessment of metabolic status of the baby at the time of deliver is through analysis of blood gases from the
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umbilical artery
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About what proportion of infants born with meconium in the amniotic fluid will have meconium in the lungs?
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1/3
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About what proportion of infants born with meconium in the amniotic fluid will develop significant respiratory distress?
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1/10
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Immediate intubation and suctioning should be performed under what circumstances when there is thin meconium-stained amniotic fluid?
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Only when warranted by the clinical judgement of the delivering physician and/or pediatrician attending the delivery
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The scrotum of newborn males of >39 weeks' gestational age is characterized by
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extensive rugae
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In the fetal circulation, the highest PO2 is contained in the
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umbilical vein
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Fetal cord blood gases most closely represent the condition in the baby at the
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end of the second stage of labor
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Which of the following is the most useful initial arterial cord blood value to manage the acidotic newborn?
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Base deficit
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When is the gastrointestinal tract of the newborn first colonized by normal bacterial flora?
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At 12 hours of life
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Currently, the most effective newborn prophylaxis to prevent opthalmia neonatorum is
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silver nitrate
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Ioterus neonatorum is most often caused by
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reabsorption of free bilirubin from the fetal intestine
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