SEMI

Question 1

Common causes of preterm

Answer 1

Smoking

Birth defects of the uterus

History of preterm delivery

Question 2

signs of prematurity

Answer 2

Labored breathing

Low body temperature

Fine hair (Lanugo) covering much of the body.

Question 3

Extreme prematurity of genitalia charac:

Answer 3

scrotum flat and smooth

Question 4

Problems of Prematurity

Answer 4

Apnea

respiratory distress syndrome

Meconium Aspiration Syndrome

Sepsis

Hyperbilirubinemia

Sudden Death Syndrome

Question 5

condition of the surfactant deficiency and physiologic immaturity of the thorax

Answer 5

respiratory distress syndrome

Question 6

occurs when a fetus passes out meconium while in the utero due to intrauterine stress.

Answer 6

Meconium Aspiration Syndrome

Question 7

bacterial infection in the bloodstream

Answer 7

Sepsis

Question 8

Neonates are highly susceptible to infection because of diminished:

Answer 8

nonspecific inflammation

specific (humoral) immunity

Question 9

help assess the respiratory and metabolic state of the Infant

Answer 9

Blood Gas

Question 10

care: with direct skin-to-Shin contact

Answer 10

kangaroo

Question 11

any baby born after 42 weeks gestation past the first day of the mother’s last menstrual period.

Answer 11

POST MATURITY

Question 12

symptoms of postmaturity

Answer 12

Dry, loose, peeling skin

More alert and “wide-eyed”

Overgrowth nails

Abundant scalp hair

Question 13

SIGNS OF POST MATURITY?

Answer 13

reduced volume of amniotic fluid

reduced fetal movement.

Question 14

The greatest risk occurs during the stresses of labor and delivery particularly is in

Answer 14

primigravidas patients

Question 15

MEDICAL MANAGEMENT for post maturity

Answer 15

Nonstress testing

Antenatal fetal monitoring

Biophysical profile

Question 16

used to prevent post-term pregnancy. Reduces the percentage of patients going post-term from 41% to 23%.

Answer 16

MEMBRANE SWEEPING

Question 17

• an infant whose rate of intrauterine growth was slowed

less than 2500 grams or 5 lbs. 8 oz

Answer 17

Small for Gestational Age (SGA)

Question 18

Most Common type of SGA

Asymmetric IUGR

2/3 rd of IUGR

Malnourishment during latter part of gestation

Answer 18

1. Malnourished SGA

Question 19

LONG, THIN & MARASMIC

Head Circumference, brain unaffected.

Internal organs, liver grossly shrunken.

HC > CC by 3cm

Loose skin folds

ONLY DECREASE IN CELL SIZE, CELL NUMBER NORMAL

GROWTH POTENTIAL (+)

NUTRITIONAL REHABILITATION

Answer 19

1. Malnourished SGA

Question 20

Symmetric lUGR

1/3 rd of lUGR

Growth retardation in early pregnancy
intrauterine infection, genetic defects, chromosomal aberrations

Incidence of anomalies 10 - 20 times higher

Answer 20

.Hypoplastic SGA

Question 21

Decrease in cell number.

All organs affected, including brain.

All parameters are proportionately small.

Poor prognosis

Permanent physical & mental retardation

Answer 21

HYPOPLASTIC SGA

Question 22

Adverse factors during both early & mid pregnant

Neither obvious malnourished, nor grossly hypoplastic

Decrease in both cell size and count

Answer 22

.MIXED SGA

Question 23

Causes of SGA

Answer 23

Maternal
Fetal
Placental
Environmental

Question 24

an infant whose birth weight falls above the 90th percentil on intrauterine growth chart

birth weight of more than 4000 grams or 8lbs. and 13oz

Answer 24

Large Gestational Age (LGA)

Question 25

Most Common cause for LGA fetus

Answer 25

MATERNAL DIABETES

Question 26

large size due to generalised ansarca rather than due to stomatic growth

Answer 26

HYDROPS FETALIS

Question 27

baby has: Visceromegaly- enlarged abdominal organs Exomphalos - abdomen not developed Macroglossia - enlarged tongue Characteristic groove in the ear lobe

Answer 27

Beckwith Wiedemann Syndrome

Question 28

baby has large forehead hypertelorism - distance between two body parts is abnormally increased micrognathia - small lower jaw long philtrum

Answer 28

Marshall Smith Syndrome

Question 29

large baby macrognathia - large jaw large hands & feet mentally subnormal lag in maturation of carpal bones

Answer 29

Sotos syndrome (cerebral gigantism)

Question 30

fetus or newborn infant whose size is within the normal range for his or her gestational age

Answer 30

 Appropriate for gestational age (AGA)

Question 31

intestinal obstruction in children between the ages of 3 months and 3 years old.

Answer 31

Intussusception

Question 32

Intussusception peak occurrence is between the ages of

Answer 32

5 to 9 months old

Question 33

Intussusception are common in children with:

Answer 33

1. cystic fibrosis 2. intestinal lesion 3. hypertrophy of intestinal lymphoid tissue secondary to viral infection

Question 34

result of a physical cause such as  Congenital heart defects  Neurologic lesions  Cerebral palsy  Microcephaly

Answer 34

1. Organic failure to thrive (OFTT)

Question 35

Unrelated to diseases most often  Parental knowledge of nutrition Deficiency in maternal care Disturbance in maternal-child attachment

Answer 35

Nonorganic failure to thrive (NFTT)

Question 36

unexplained by the usual organic and environmental causes

Answer 36

Idiopathic failure to thrive

Question 37

described as cramping that is manifested by loud crying and drawing the legs up to the abdomen.

Answer 37

Congenital Problem: Paroxysmal Abdominal Pain (Colic)

Question 38

Colic is more common in infants under the age of

Answer 38

3 months old

Question 39

causes of Colic

Answer 39

Overeating Swallowing excessive air. Improper feeding technique

Question 40

 If CMA is suspected, breast-feeding mothers should follow a

Answer 40

milk-free diet

Question 41

Trisomy 21

Answer 41

Down Syndrome

Question 42

Speckling of iris

Answer 42

Bushfield spots

Question 43

Mental capacity of trisomy varies from

Answer 43

severe retardation to low-average intelligence.