The High-Risk Newborn: Anticipation, Evaluation, Management, and Outcome

Question 1

The single strongest predictor of poor birth outcome….?

Answer 1

Prior poor birth outcome

Question 2

Multiple-gestation pregnancies and preterm delivery …?

Answer 2

57% of twins and

93% of triplets in the United State

Question 3

One preterm birth increases the risk for a second by a factor of…..?.

Answer 3

4

Question 4

PDA may present as symptomatic …?

Answer 4

tachycardia, poor perfusion, murmur, precordial pulsations, and wide pulse pressure

Question 5

Risk factors for post-term pregnancies include the following:….?

Answer 5

1. Nulliparity
2. Previous post-term pregnancy
3. Obesity
4. Anencephaly. An intact fetal pituitary–adrenal axis appears to be necessary for the initiation of labor.
5. Trisomies 13 and 18
6. Seckel’s syndrome (bird-headed dwarfism)

Question 6

The Ponderal index…?

Answer 6

[cube root of birth weight in grams × 100]/[length in centimeters]