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Flashcards in HD 202 E2 Samplex 2017 Deck (47)
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1

Newborn period

A. conception to birth
B. birth to day 7 of life
C. birth to day 28 of life
D. birth to 12th month of life

C

2

The key to good newborn care is anticipation. Which of the following is true regarding risk assessment?

A. careful risk assessment prior to delivery will identify all newborns that will require resuscitation at birth
B. many difficult neonatal courses can be detected by careful and “thoughtful” history taking
C. absence of risk factors predicts the birth of a normal newborn
D. NOTA

B

3

Immediate need of each newborn

A. To breathe
B. To cry
C. To defacate
D. A

A

4

Percent of newborns requiring initial assessment to identify if resuscitation is required

A. 1% (1 in 100)
B. 5% (1 in 20)
C. 10% (1 in 10)
D. 100% (all)

D

5

After drying and assessment of breathing, next appropriate action for healthy newborns is

A. foot printing
B. skin-to-skin contact
C. grafting
D. clamping

B

6

While observing the newborn attached to the breast, one can assess the following newborn capabilities

A. sucking reflex
B. swallowing reflex
C. cranial nerve reflex
D. AOTA

D

7

Least useful in the physical exam of the newborn

A. percussion
B. auscultation
C. inspection
D. palpation

A

8

Capabilities of a normal full term newborn

A. can discern pastel-colored objects
B. can recognize familiar voices
C. have 20/20 vision
D. NOTA

B

9

Visual capacity of a normal full term newborn

A. sees dark and light contrasts
B. tracking objects
C. visualize objects 10 feet away
D. have 20/20 vision

A

10

The preliminary assessment of the newborn is done in the first 30 seconds while drying the baby; the second, more thorough, physical examination is done

A. before the first breastfeed
B. during the first breastfeed
C. after the first breastfeed
D. NOTA

C

11

Cord is clamped

A. after the first breastfeeding
B. as soon as the cord pulsations stop
C. right after the baby is delivered
D. right after the placenta is delivered

B

12

Thorough assessment of the newborn is done in the

A. neonatal intensive care unit
B. newborn transition area
C. well baby nursery
D. company of the mother

D

13

Figure: Baby horizontally suspended, arms extended, hips flexed, knees flexed, head at same plane with body looking down

A. abnormal because of lack of arm flexion
B. abnormally increased tone because of hip and knee flexion
C. normal of a full term newborn even if the head falls and the neck flexes
D. normal of a full term newborn if the head can retain its present position

C

14

A healthy newborn demonstrates various states of wakefulness depending on eye opening, respiratory efforts, spontaneous movements and vocalization; according to Brazelton, if a baby’s eyes are closed or half-open with slight activity, the baby is in

A. deep sleep
B. light sleep
C. quiet, awake state
D. fully awake state

C

15

When performing the Ballard, full term infants are scored as early as possible but reliably up to

A. 24 hrs
B. 36 hrs
C. 48 hrs
D. 72 hrs

D

16

In the Ballard, criteria most prone to change in extremely preterm newborns if they are scored beyond 12 hours

A. skin
B. muscle tone
C. lanugo
D. eye

A

17

Lanugo appears first over the

A. lumbosacral area
B. scapular area
C. shoulders
D. legs

A

18

Mario was born term via spontaneous vaginal delivery with a birth weight of 3200 grams, birth length of 50 cm and birth head circumference of 40 cm

A. normal for a newborn Filipino
B. weight is not proportional with the rest of the measurements
C. normal for a newborn Caucasian
D. head circumference is bigger than normal for a newborn Filipino

D

19

Child can sit with support, hold a spoon, responds to the bell and has started to babble

A. 6 months
B. 3 months
C. 12 months
D. NOTA

A

20

Child has object permanence, can walk, say a word or two and point

A. 3 mos
B. 6 mos
C. 9 mos
D. 12 mos

D

21

True of development

A. during the 2nd year, walking is starting to develop
B. language begins to develop at 1 year
C. school age children exhibit very active imagination and often exaggerate thought
D. emotional development slows down during the 3rd year of life

C

22

Overarching themes of development according to Shonkoff include the following, except

A. all children are wired for feeling and ready to learn
B. early environments matter
C. human relationships are least likely to create any impact
D. society is constantly changing and needs of children are not being addressed

C

23

Anthropometric measurements at birth of a normal Filipino child

A. BW = 3300 g, BL = 50 cm, BHC = 35 cm
B. BW = 3000 g, BL = 50 cm, BHC = 35 cm
C. BW = 3000 g, BL = 55 cm, BHC = 35 cm
D. BW = 3000 g, BL = 50 cm, BHC = 30 cm

B

24

Normally developing 3 year old can

A. skip and jump
B. draw a complete person
C. pedal a 2 wheeler bike
D. say complete name and gender

D

25

Object permanence is an important concept that develops during the

A. 5 years
B. 4 years
C. 2 years
D. 1 year

D

26

Describes a young toddler, except

A. imitates mannerism and activities of the mother
B. uses almost 300 words
C. masters walking skills and starts to climb
D. parallel play

B

27

True regarding language development, except

A. it is a system of communication
B. it includes comprehension (receptive language) and expression (expressive language)
C. pointing to body parts is an example of expressive language
D. speech is the production of sounds

C

28

True regarding development, except

A. development is a dynamic process
B. there are 10 recognized domains in development
C. skipping and running are developmental milestones in the gross motor domain
D. development interplays with behavior

B

29

A 2 year old girl bangs her head against her crib before sleeping since she was 10 months old; PMH is unremarkable except for a simple febrile seizure at 12 months, walks well, vocabulary of more than 50 words and 2-word phrases, growth at 25th percentile; management is

A. electroencephalogram
B. neurological evaluation
C. no intervention
D. ophthalmologic evaluation

C

30

Average baby double birth weight at

A. 3 mos
B. 4 mos
C. 5 mos
D. 6 mos

C

31

Long standing relatively fixed behaviors, except

A. continued, too frequent night walking in a 2 year old
B. temper tantrums in 18 mos
C. picky eating in 2-4 year olds
D. poor eye contact and hand-flapping in a 2 ½ year old

D

32

Not true of speech

A. it is a system of communication that includes comprehension, expression and production of sound
B. it is unique only to humans
C. most important activity in childhood
D. primitive speech occurs during infancy

A

33

Expected weight of Julius, born with a BW of 3 kg, at 4 mos old

A. 5 kg
B. 5.4 kg
C. 5.6 kg
D. 6 kg

B

Formula for computing weight of babies less than 6 months old is (age in months × 500 + BW). So (4 × 500 + 3000) = 5400 g or 5.4 kg.

34

Bea can hold head up in a prone position, shakes a rattle and squeals with glee

A. 2 mos
B. 4 mos
C. 6 mos
D. 8 mos

B

35

Children adapt adult life social skills

A. 3 years old
B. 4 years old
C. 5 years old
D. 6 years old

C

36

True regarding growth by 1 year old

A. birth weight quadruples
B. birth length increases by 70%
C. head circumferences gains 4 inches
D. AOTA

C

37

Classic manifestation of the struggle for autonomy

A. temper tantrums
B. bedwetting
C. AOTA
D. NOTA

A

38

grade 3, the child should be able to sit and pay attention for

A. 15 mins
B. 30 mins
C. 45 mins
D. 60 mins

C

39

The following are risk factors for child development except

A. inadequate stimulation
B. growth retardation
C. iodine deficiency
D. NOTA

D

40

Parents were deceased due to vehicular accident so the patient lives with his
maternal grandmother

A. past medical history
B. family medical history
C. developmental history
D. personal and social history

D

41

At 5 years old, patient was noted to be hyperactive, always running around and fails to remain seated, can’t focus on a task and gets easily distracted.

A. past medical history
B. history of present illness
C. nutritional history
D. birth and maternal history

B

42

Patient was born in a non-consanguineous marriage; father is known hypertensive, mother has no illnesses except for occasional attacks of bronchial asthma, one relative died of unknown causes and his older brother has down syndrome

A. family medical history
B. history of present illness
C. nutritional history
D. birth and maternal history

A

43

Mother had rashes during the 3rd month of pregnancy and vaginal spotting starting at 3rd trimester.

A. family medical history
B. history of present illness
C. nutritional history
D. birth and maternal history

D

44

Patient has occasional seizure episodes accompanied by high grade fever, sometimes requiring hospitalization.

A. past medical history
B. family medical history
C. developmental history
D. personal and social history

A

45

Patient is picky eater and prefers meat over vegetables and fruits.

A. family medical history
B. history of present illness
C. nutritional history
D. birth and maternal history

C

46

At 12 mos old, patient already walks with support, eats biscuits, uses pincer grasp, follows 1-step verbal commands, says 1 word other than mama and kisses on request.

A. past medical history
B. family medical history
C. developmental history
D. personal and social history

C

47

The age of adolescence encompasses

A. 11-20
B. 13-21
C. 10-18
D. 10-19

D