1st Bimonthly exam RECALLS

Question 1

The anterior fontanelle usually closes by:

20 months
22 months
24 months
26 months

Answer 1

9-18 months

?
20 months
22 months
24 months
26 months

Question 2

Language development is as its most rapid during:
infancy
preschool
middle childhood
anytime before 10 yrs. old

Answer 2

preschool

Question 3

One of the following is not a neuromuscular finding in a term neonate:

Partial flexion
Arm recoil of 180 degrees
Popliteal angle of 90 degrees
Square window of 0 degrees

Answer 3

Arm recoil of 180 degrees

Question 4

The head circumference of a term newborn is ___ cm/s greater then the chest circumference:

1
2
3
4

Answer 4

2

Question 5

Born NSD, to a G2P2 , 26 year-old female with no complications. At 1 minute, comes out crying and in active motion,** body pink **and extremities blue. Upon suctioning, the baby sneezed. On auscultation, heart rate is 120 bpm. The APGAR score is :

7
8
9
10

Answer 5

9

Question 6

The following are true of the respiratory system findings of a term neonate except:

Resirations are abdominal
Cough reflex is present by 1-2 days of life
Prominent xipisternal process is an abnormal finding
A mild substernal retraction is evident and is a normal finding

Answer 6

Prominent xipisternal process is an abnormal finding

Question 7

A 4mm breast nodule with multiple creases on the soles of the feet of an infant describes an infant who is:
35 weeks
36 weeks
38 weeks
39 weeks

Answer 7

38 weeks

Question 8

Role playing is already evident in children at this age:

2 years old
3 years old
4 years old
6 years old

Answer 8

4 years old

Question 9

This greasy white substance covers the skin that provides moisture barrier to newborns.

Lanugo
Vernix caseosa
Cutis Marmorata
Dry, flaky plaques

Answer 9

Vernix caseosa

Question 10

Appropriate for Gestational Age (AGA) is described as :

Birthweight between the 5th and 95th percentile for gestational age
Birthweight between the 10th and 95th percentile for gestational age
Birthweight between the 10th and 90th percentile for gestational age
Birthweight between the 5th and 90th percentile for gestational age

Answer 10

Birthweight between the 10th and 90th percentile for gestational age

Question 11

A normal birthweight of a newborn ranges from:

2000-3500 gms
2500-3500 gms
2500-4000 gms
3000-4000 gms

Answer 11

2500-4000 gms

Question 12

A tiny sebaceous retention cysts or of keratin on forehead without redness is called:

Milia
Pustular melanosis
Acne noenatorum
Erythema toxicum

Answer 12

Milia

Question 13

Accumulation of epithelial cells on the hard palate is are called:

Mucoceles
Epstein pearls
Retention cysts
Follicular cysts

Answer 13

Epstein pearls

Question 14

Physical maturity characteristics of the Ballards scoring include:

Posture
Heel to ear
Popliteal angle
Plantar surface

Answer 14

Plantar surface

Question 15

As a physician in a private school, you aimed to analyze the nutritional status fo the students upon school entrance. The 1st student was a 4 year old, male with a weight of 16 kgs and height of 101 cm. The BMI would be:

14.5
15.6
16.7
17.5

Answer 15

15.6

Question 16

The third intervention in the Essential Intrapartum and Newborn Care is:

Immediate drying
Initiation of breastfeeding
Properly timed cord clamping
Non-separation of the newborn and baby

Answer 16

Properly timed cord clamping

Question 17

Stroking the lip and the corner of the cheek with a finger and the infant will turn in that direction and opens his mouth is testing for:

Babinski reflex
Glabellar reflex
Rooting reflex
Startle reflex

Answer 17

Rooting reflex

Question 18

These are the benefits of properly-timed cord clamping EXCEPT:

prevention of anemia
prevention of hypotension
increase iron stores in the neonate
prevention of intraventricular hemorrhage

Answer 18

prevention of hypotension

Question 19

One of the following is an abnormal skin manifestations:

Mongolian spots
Erythema toxicum
Pustular melanosis
Harlequin color change
Capillary hemangioma

Answer 19

Capillary hemangioma

Question 20

Preschool period corresponds to :

schema
anal/oral stage
Preoperational stage
concrete logical operations

Answer 20

Preoperational stage

Question 21

With ENC protocol, the following measures are ideally done prior to 6 hours of life of a stable newborn.

Cord ligation
Bathing the baby
Vitamin K injection
Newborn screening

Answer 21

Cord ligation

Question 22

A 4-year and 4-month old male was brought to the ER due to bipedal edema. You were asked by his attending physician to get his height which is 95cm. What is his ideal height?

the above height is the ideal for age
the ideal height for his age is 101 cms
the ideal height for his age is 110 cms
None of the above

Answer 22

the ideal height for his age is 101 cms

Question 23

Lubchenco’s chart includes all of the following except:

Weight
Length
Head circumference
Chest circumference

Answer 23

Chest circumference

Question 24

Lubchenco’s chart includes all of the following except:

Weight
Length
Head circumference
Chest circumference

Answer 24

Chest circumference

Question 25

Which of the following Developmental Theories is not correctly paired Piaget - Psychoanalytic Theory Erickson - Psychosocial Theory Freud’s Theory - Idea of Body Center Kohlberg - Moral Development Theory

Answer 25

Piaget - Psychoanalytic Theory

Question 26

The ideal weight of an 8-year old male child is: 22 kgs 24 kgs 24.5 kgs 25.5 kgs

Answer 26

25.5 kgs

Question 27

An 18-month old should be able to: draw a cross state his name, age can say 2-word sentence point and identify body parts

Answer 27

point and identify body parts

Question 28

Chelsea is a 2-year old child, at this point, what shoud she be able to say: phrases single word sentences narratives

Answer 28

phrases

Question 29

A 2 months old infant was brought to the ER due to cough. She weight 3.5kgs. What is her ideal body weight if her birth weight is 3kgs. The weight of 3.5 kgs above is the ideal weight The ideal weight is 4.2 kgs The ideal weight is 6 kgs None of the above

Answer 29

The ideal weight is 4.2 kgs

Question 30

The best time to assess for neurologic abnormalities of a term newborn is: Asleep Crying Before feeding After feeding

Answer 30

Before feeding

Question 31

The primitive reflexes of the newborn, in general, should disappear by: 4 mos 5 mos 6 mos 9 mos

Answer 31

6 mos

Question 32

This reflex is also known as the startle reflex. It should cause symmetrical abduction of both arms and extension of the fingers followed by flexion and adduction of the arms Moro Crawling Tonic Neck Parachute

Answer 32

Moro

Question 33

This reflex is also known as the startle reflex. It should cause symmetrical abduction of both arms and extension of the fingers followed by flexion and adduction of the arms Moro Crawling Tonic Neck Parachute

Answer 33

Moro

Question 34

Average Length of a normal newborn is: 45-46 cms 46-48 cms 48-52 cms 53-55 cms

Answer 34

48-52 cms

Question 35

Bedwetting is normal in boys up to this age: 3 years old 4 years old 5 years old 6 years old

Answer 35

5 years old

Question 36

The most important reflex in a term newborn neonate is: Moro refelex Rooting refllex Suckling reflex Plantar grasp reflex

Answer 36

Moro refelex

Question 37

The most important reflex in a term newborn neonate is: Moro refelex Rooting refllex Suckling reflex Plantar grasp reflex

Answer 37

Moro refelex

Question 38

At 3 years old, the child should : draw a circle ride and pedal a tricycle have established hndedness all of the above none of the above

Answer 38

all of the above

Question 39

A preterm , 36 weeks baby was born limp, grimaced, with weak cry, heart rate of 99/min, bluish color on the lower extremities, will give you an Apgar score of: 3 4 5 6

Answer 39

4

Question 40

In the Rapid Gestational asessment at delivery, a fine scalp hair, a breast nodule of 4mm and smooth 2/3 of the heel are findings of this particular gestational age: 36-37 weeks 37-38 weeks 39-40 weeks 40-42 weeks

Answer 40

37-38 weeks

Question 41

This primitive reflex remains throughout life. Moro Rooting Parachute Palmar grasp

Answer 41

Parachute

Question 42

What is the ideal weight of a 4-year old male child? 12 kgs 12.5 kgs 14 kgs 16 kgs

Answer 42

16 kgs

Question 43

A child should be able to tell his name and gender by: 2 years old 2.5 years old 3 years old 4 years old

Answer 43

3 years old

Question 44

A bluish, well-demarcated areas of pigmentation on the skin on the back, buttocks are called: Port-wine stain Mongolian spots Melanotic spots Harlequin color change

Answer 44

Mongolian spots

Question 45

School age corresponds to Piaget's : preoperational abstract thought sensory motor period concrete logical operations

Answer 45

concrete logical operations

Question 46

If after 30 seconds of thorough drying , the newborn is crying and breathing well, your next intervention would be: Do skin-to-skin-contact(SSC) Suctioning the nose and mouth Properly timed clamping of the cord Cover newborn's head with the bonnet

Answer 46

Do skin-to-skin-contact(SSC)