Neonatalogy

Name: ___________________________________ Date: ________________________

1. What is the main objective of routine ultrasonography during pregnancy?

A) Monitoring maternal health

B) Identifying maternal complications

C) Assessing fetal growth and well-being

D) Determining the gender of the fetus

E) Evaluating maternal nutrition

2. Which parameter is used for estimating gestational age accurately during the 2nd trimester
ultrasonography?

A) bi-parietal diameter

B) Abdominal circumference

C) Fetal weight

D) Placenta location

E) Amniotic fluid volume

3. What are the primary goals of antepartum fetal surveillance?

A) Determining the gender of the fetus

B) Monitoring maternal blood pressure

C) Preventing maternal complications

D) Preventing intrauterine fetal demise and hypoxic brain injury

E) Ensuring maternal comfort during pregnancy

4. In cases of women at risk for preterm delivery, what is the desired outcome of antepartum fetal
surveillance?

A) Monitoring maternal health

B) Achieving prolonged gestation at all costs

C) Minimizing fetal movement

D) Balancing the safety of prolonging gestation or timely delivery when the fetus is in jeopardy

E) Promoting maternal relaxation

CASE #1

A baby boy was born by Caesarean section. Patient develops signs of respiratory distress at 30 minutes
of age.

10. When evaluating newborns presenting respiratory distress, the following factor(s) are considered:
A. mode of delivery

B. recent maternal illness

C. age of gestation upon delivery

D. fetal well-being during labor

E. all of the above

11. All of the following describes a severe type of respiratory problem in newborns EXCEPT:

A. perioral cyanosis

B. sudden pallor

C. heart rate of 60 bpm

D. respiratory rate of 40 cpm

E. stridor

12. The following condition(s) may be considered in this case:

A. Transient Tachypnea of the Newborn

B. Respiratory Distress Syndrome

C. Meconium Aspiration Syndrome

D. Congenital Pneumonia

E. All of the above

Infant’s condition at birth may be described as to the following EXCEPT

A. Heart rate
B. Respiration
C. Tone
D. Reflex
E. Oxygen saturation

CASE FOR #13-14

3 day-old Baby boy of Mrs.R presented with yellowish discoloration of the body and eyes of 1-day
duration. Baby was delivered via a normal vaginal delivery at 37 weeks with birth weight was 2.7Kg.

During the first two days stools were said to be dark in colour which has turned yellowish by the 3rd day
but it was not pale.
13. When investigating for the cause of jaundice, which of the following information(s) will you include in
your history taking?

A. blood type of mother

B. previous child with history of prolonged jaundice

C. type, frequency and amount of feed

D. maternal infection

E. all of the above

14. What is the most important initial step in the evaluation of an infant with jaundice?

A. Measurement of fractionated bilirubin

B. HBT ultrasound
C. Liver Biopsy
D. Measurement of ALT, AST, ALP and GGTP

The MOST important risk factor for necrotizing enterocolitis (NEC) in preterm infants is

A. delivery by cesarean section

B. breast feeding
C. apgar score
D. exposure to glucocorticoids during the first week of life
E. gestational age and birth weight

A 2-day-old baby girl was admitted to the neonatal intensive care unit (NICU) with suspected neonatal
sepsis. The infant's mother had a prolonged rupture of membranes prior to delivery, and the baby
exhibited lethargy, poor feeding, and a body temperature of 38.5°C. Physical examination revealed
tachypnea, grunting, and mild jaundice.

What are the common clinical indicators of neonatal sepsis in the presented case vignette?

A. Bradycardia, constipation, and hypotension.

B. Lethargy, poor feeding, and hyperthermia.
C. Bradycardia, vomiting, and hypothermia.
D. Hyperactivity, diarrhea, and tachycardia.
E. Cyanosis, excessive urination, and hypotension.

Which of the following laboratory tests will you order to further investigate the above case?

A. Cbc and plt

B. Blood culture
C. C-reactive protein
D. CSF analysis
E. All of the above