WorksheetsFetus and Newborn Infant
Total questions: 8
Worksheet time: 8mins
A neonate in NBN with trisomy 21 has polycythemia (hct 69%), but is clinically asymptomatic. The BEST next management step for this neonate is to
Infuse 10 mL/kg normal saline
Infuse 10 mL/kg of platelets
Observe closely
Perform partial exchange transfusion
PE findings on a 34 WGA NB include compressed facies, large auricles, and reducible left ankle held in dorsiflexed position. The MOST likely explanation for this neonate’s physical examination findings is
Amniotic band sequence
Maternal urinary tract infection
Oligohydramnios sequence
Prematurity
A 1 mo had Apgar scores were 0, 4, 5, and 7 at 1, 5, 10, and 15 minutes, respectively. The parents ask about the predictive value of this infant’s Apgar scores. These scores correlate MOST closely with
Neurodevelopmental scores
Physiologic state at birth
Probability of cerebral palsy
Risk of mortality at 1 year
A NB by SVD has on PE "a soft mass that covers the crown of the head with overlying ecchymoses that crosses suture lines." This condition is MOST likely associated with
Cranial molding
Falling hematocrit
Linear skull fracture
Low platelet count
A 3-day-old NB 36 WGA has jaundice, a high-pitched cry, weak suck, and mild generalized hypotonia. Wt loss 12%. The test MOST likely to confirm this neonate’s diagnosis is
Blood culture
Serum ammonia level
Serum bilirubin level
Serum glucose level
NB at 35 weeks’ gestation to a 19-year-old primigravida with limited prenatal care reveals the following. The disorder MOST commonly associated with this congenital anomaly is
Bladder exstrophy
Hypoglycemia
Necrotizing enterocolitis
Wilms tumor
The STRONGEST predictor of a neonate’s risk of early-onset infection is
Birthweight less than 2.5 kg
Gestational age
Maternal fever
Rupture of membranes longer than 18 hours
An 8-day-old presents in clinic after home birth with limited PNC with "a clear discharge is noted from both eyes with mild conjunctival erythema." This neonate’s MOST likely condition could have been prevented by
Avoidance of perfumed baby shampoo
Gentle massage of both nasal lacrimal ducts downward
Ocular application of 0.5% erythromycin ointment
Saline irrigation of the eyes
