Newborn resuscitation
1.
An
infant has the following findings at 5 minutes of life. Pulse 130b/m, cyanotic
hand and feet, good muscle tone, and a strong cry and grimace. This infanct
agpar is
a) 6
b) 7
c) 8
d) 9
2. A
baby is born at 29 weeks following a large maternal antepartum haemorrhage. You
arrive in the delivery room just as the baby is being transferred to the
resuscitation platform. Which of the following is a CORRECT action that you
should undertake?
a) Dry
the baby and wrap in several warm towels, then assess the condition of the baby
b) Don't
worry about universal precautions, as resuscitation cannot be delayed
c) Place
the baby in a sterile plastic bag up to the neck, cover the head with a hat and
place the baby under a radiant warmer.
d) Administer
intramuscular naloxone (200 µg) to the baby's thigh and massage vigorously
3.
While
positioning of the baby shoulder should be elevated at
a) ¾ to
1 inch off the mattress
b) ½ to
¾ inch off the mattress
c) ½ to
1 ½ inch off the mattress
d) 1 to
1 ½ inch to the mattress.
4.
Suctioning
pressure to be kept around
a) 80-90cm
water
b) 100
to 130 cm water
c) 130
to 150 cm water
d) 140
to 160 cm water
5.
Suctioning
of newborn, which statement is right
a) Oral
suctioning should be done first when
mechonium stained liquor is not observed
b) Nasal
suctioning should be done first when
mechonium stained liquor is observed
c) Oral
suctioning should be done when mechonium
stained liquor is observed
d) Continuous
suctioning to be done in mechonium aspiration syndrome.
6.
All are
appropriate actions for tactile stimulation EXCEPT
a)
Slap
the sole
b)
Flick
the sole
c)
Rub
the back
d) Slap the back
7.
Contraindication
for bag and mask ventilation
a) The
infant is apenic or gasping
b) Mechonium
aspiration syndrome
c) Heart
rate below 100 beats/minutes
d) Mechonium
stained liquor
8.
When to start
chest compression?
a)
Heart
rate is above 100 beats/minutes and spontaneous respiration
b)
Heart
rate is below 100 beats/minutes and
spontaneous respiration
c)
Heart
rate is above 100 beats/minutes and no spontaneous respiration
d)
Heart
rate is below 100 beats/minutes with
PPVs
9.
Chest
compression always performed alone with
a)
100
% oxygen
b)
Positive
pressure ventilation
c)
Ventilation
and 100% oxygen
d)
Endotracheat
intubation
10. Cardiac compression should be given. Which statement
is correct
a)
Area
is below the xyphoid sternum
b)
Area
is above the nipple line
c)
Is
done at 1:2 with bag and mask ventilation
d)
Palm
could be used for compression
11. The rate of chest compression in one minute should
be
a)
80
along with 30 PPVs
b)
60
alone with 40 PPVs
c)
90
alone with 30 PPVs
d)
100
alone with 30 PPVs
12. The depth of chest compression is
a)
1
to 2 inch
b)
½
to ¾ cm
c)
1
to 2 cm
d)
½
to ¾ inch
13. How to determine the effectiveness of chest
compression.
a)
Check
femoral pulse
b)
Check
chest movement
c)
Check
respiratory rate
d)
Check
capillary refill time
14. Endotracheal intubation is indicated when
a)
Bag
and mask ventilation is required
b)
Prolonged
positive pressure ventilation is required
c)
Umbilical
hernia is suspected
d)
Medication
is required
15. Internal diameter of the ET tube fro term newborn is
a)
3 to 3.5 mm
b)
2
to 2.5mm
c)
3.5
to 4 mm
d)
None
of these
16. Formula to decide approximate size of endotracheal tube
a)
(Internal diameter in mm) = Age in months + 16/ 4
b)
(Internal
diameter in mm) = Age in days + 16/ 4
c)
(Internal
diameter in mm) = Age in weeks + 16/ 4
d)
(Internal
diameter in mm) = Age in years + 16/ 4
17. Medications may be required when there is
a)
Heart
rate is 60 beats/minute or above
b)
Heart
rate is >60 beats/minute
c)
Heart
rate is 120 beats/minute or above
d)
When
chest compression failsa
18. Preferable veins for catheter in newborn during
resuscitation
a)
Scalp
vein
b)
Umbilical
vein
c)
Brachial
vein
d)
Femoral vein
19. Recommended dose of epinephrine intravenously is
a)
0.02
to 0.05 mg/kg/dose
b)
0.03
to 0.04 mg/kg/dose
c)
0.01
to 0.03 mg/kg/dose
d)
0.05
to 0.1 mg/kg/dose
20. During resuscitation of newborn Metabolic acidosis
should be managed with
a)
Oxygen
b)
Volume
expander
c)
Both
a and b
d)
Sodium
bicarbonate
Newborn resuscitation
1. Ans:d
2.
Ans:c
3.
Ans:a
4.
Ans:b
5.
Ans: a
6.
Ans:d
7.
Ans:b
8.
Ans:
d
9.
Ans:
c
10. and:a
11. Ans:c
12. Ans:d
13. Ans:a
14. Ans:a
15. Ans: a
16.
Ans:d
17.
Ans:a
18. Ans:b
19. Ans:c
20.
Ans:c
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