11/24/23, 11:35 AM Test 2.

Neo_ Asphyxia: Attempt review

Dashboard / My courses / Pediatrics 5th course / Topic 2. Asphyxia of newborns. RDS. Cardiopulmonary resuscitation of newborns.

/ Test 2.Neo_ Asphyxia

Started on Friday, 24 November 2023, 7:42 AM

State Finished
Completed on Friday, 24 November 2023, 8:02 AM
Time taken 20 mins 3 secs
Grade Not yet graded

Indicate the main cause of transient tachypnea in newborns

a. Intranatal infection
b. Delay in the lungs of fetal fluid 
c. Surfactant deficiency
d. Delayed fetal development
e. Ineffective primary resuscitation

In the case of hemorrhagic disease of newborns

a. Platelet level is reduced, prothrombin time is normal, thrombin time is normal

b. Another answer
c. Platelet level is normal, prothrombin time is prolonged, thrombin time is prolonged
d. Platelet level is normal, prothrombin time is prolonged, thrombin time is normal 
e. Platelet level is reduced, prothrombin time is normal, thrombin time is prolonged

The effect of vitamin K is

a. Activation of II, VII, IX, X coagulation factors 

b. Stimulation of growth of intestinal microflora
c. Decreased fibrinolytic activity of the blood
d. Decreased levels of antithrombin
e. Stabilization of the vascular wall

How much glucose infusion should be given to a child weighing 3000.0 grams. for 1 day of life, who was born in a state of asphyxia of
moderate severity and does not get enteral nutrition?

a. 70-80 ml/kg
b. 60-70 ml/kg 
c. The volume of infusion is determined by the child's diuresis and blood pressure.
d. 90-100ml/kg
e. 110-120 ml/kg

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11/24/23, 11:35 AM Test 2.Neo_ Asphyxia: Attempt review

A baby weighing 1,500.0 g was born by emergency caesarean section for maternal bleeding due to placental abruption. Intubation of
the child's trachea was performed and artificial ventilation of 100% oxygen was started. After 30 seconds, the heart rate was 50 per
minute. What to do next

a. Start a blood substitute infusion

b. Introduce adrenaline
c. Start indirect heart massage 
d. Introduce sodium bicarbonate solution
e. Introduce atropine

Bleeding from the genitals in newborn girls is most often caused

a. Sexual crisis caused by maternal estrogen 

b. Injury during childbirth or examination
c. hemorrhagic disease of newborns
d. Infection

Moderate to severe asphyxia is diagnosed in the case of depression at birth, multiorgan dysfunction and Apgar score

a. Apgar score is not taken into account in the diagnosis of asphyxia

b. Less than 5 points in 5 minutes 
c. Less than 3 points in 5 minutes
d. Less than 8 points in 1 minute
e. Less than 2 points in 1 minute

In a full-term infant with asphyxia, blood glucose should be monitored

a. Immediately after resuscitation.

b. Immediately after resuscitation, every 6-8 hours after birth, every 12-24 hours after stabilization 
c. Daily
d. In case of symptoms of hypoglycemia
e. Every 12 hours after birth, every 24 hours after stabilization

The supply of what percentage of oxygen will provide a self-filling bag, equipped with an oxygen tank and connected to a source of
100% oxygen

a. 90-100%
b. 70-80%
c. 50-60%
d. 30-40% 
e. 20-30%

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11/24/23, 11:35 AM Test 2.Neo_ Asphyxia: Attempt review

Average volume of blood circulation in a healthy full-term newborn in the early neonatal period (ml/kg)

a. 100-110
b. 85-90 
c. 95-100
d. 65-70
e. 75-80

Girl N., was born at 43 weeks of gestation. During pregnancy - anemia, at 32-34 weeks of pregnancy was treated in hospital for late
toxicosis of pregnant women. Duration of delivery 18 hours:, the second period lasted 40 minutes, waterless period - 6 hours. Oxytocin
stimulation. Occipital presentation. The child cried immediately after sucking mucus from the upper respiratory tract. Body weight
4450g. body length 53cm, Apgar score 4-7 points. Amniotic fluid was green with meconium particles. The placenta is fleshy with
calcifications. Make a preliminary diagnosis, name the reasons that led to this pathology. Describe the initial measures in the delivery
room, what methods of supplying oxygen-air mixture do you know?

The preliminary diagnosis for the newborn (Girl N.) may include fetal distress and meconium aspiration syndrome (MAS). Fetal
distress is suggested by the prolonged duration of labor, oxytocin stimulation, and the presence of meconium-stained amniotic fluid.
Meconium aspiration syndrome occurs when a newborn inhales meconium (the baby's first stool) into the lungs during or before
delivery.

Possible contributing factors to this pathology include:

1. Post-term pregnancy (43 weeks of gestation): Babies born after the due date may be at an increased risk of meconium
aspiration and other complications.
2. Maternal anemia and late toxicosis (pre-eclampsia): These conditions can affect the health of both the mother and the baby,
potentially leading to complications during labor and delivery.
3. Prolonged labor (18 hours) and oxytocin stimulation: Prolonged labor can contribute to fetal distress, and the use of oxytocin
to stimulate contractions may have played a role.
4. Meconium-stained amniotic fluid: This is a sign that the baby passed meconium into the amniotic fluid, which can lead to
meconium aspiration.

The Apgar score of 4-7 points suggests that the newborn had some difficulty adapting to life outside the womb.
In the delivery room, initial measures may include:
1. Clearing the airways: Suctioning the baby's airways to remove meconium and mucus, as described by the immediate crying after
suctioning.
2. Assessment and monitoring: Continuous monitoring of the baby's vital signs, including heart rate, respiratory rate, and oxygen
saturation.
3. Providing warmth: Ensuring that the newborn is kept warm to prevent hypothermia.
4. Initiating oxygen therapy: Given the circumstances, supplemental oxygen may be provided to support the baby's respiratory
efforts.

Methods of supplying an oxygen-air mixture may include:

1. Hood or headbox: Placing a hood or headbox over the baby's head to deliver a controlled concentration of oxygen.
2. Nasal cannula: Placing small tubes in the baby's nostrils to deliver oxygen.

3. Ventilator support: In more severe cases, mechanical ventilation may be required to assist with breathing.

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11/24/23, 11:35 AM Test 2.Neo_ Asphyxia: Attempt review

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