Tests for newborn

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VARIANT 1.
1. The neonatal period is the interval from:
a) birth until 28 days after birth;
b) birth until 7 days after birth;
c) 8 til 28 days after birth;
d) the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. Name the chemical changes in the blood of neonate that help initiate the first
respiration:
a)
low oxygen concentration;
b)
high carbon dioxide;
c)
low pH;
d)
a relatively cooler atmosphere.
3. What is the function of brown adipose tissue ?
a)
greater heat loss;
b)
conservation of heat;
c)
intensified heat production;
d)
hemopoiesis.
4. Apgar scoring system includes:
a)
heart rate;
b)
blood pulse;
c)
muscle tone;
d)
reflex irritability.
5. The child was born at term 32-33 wks of gestation with weight 1650 g.
Make the diagnose.
a)
prematurity of I stage;
b)
prematurity of II stage;
c)
prematurity of III stage;
d)
term newborn.
6. Describe sucking reflex of the infant.
VARIANT 2.
1. The early neonatal period is the interval from:
a) Birth until 28 days after birth;
b) birth until 7 days after birth;
c) 8 til 28 days after birth;
d) the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. Name the primary thermal stimulus that help initiate the first respiration:
a)
a relatively cooler atmosphere;
b)
low oxygen concentration;
c)
high carbon dioxide;
d)
low pH.
3. Brown fat owes its name to:
a)
its larger content of fat acids;
b)
its larger content of lysosomes;
c)
its larger content of mitochondrial cytochromes;
d)
its larger nucleus.
4. Evaluations of all categories of Apgar scoring system are made at:
a)
1 minute after birth;
b)
1 and 5 minutes after birth;
c)
2 and 5 minutes after birth;
d)
1 and 10 minutes after birth.
5. The child was born at term 36-37 wks of gestation with weight 2350 g. Make
the diagnose.
a)
prematurity of I stage;
b)
prematurity of II stage;
c)
prematurity of III stage;
d)
term newborn.
6. Describe rooting reflex of the infant.
VARIANT 3.
1. The late neonatal is the interval:
a. From birth until 28 days after birth;
b. from birth until 7 days after birth;
c. from 8 til 28 days after birth;
d. the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. The surface tension of the fluid in the alveoli of a newborn is reduced by:
a) surfactant;
b) detergent;
c) lung fluid;
d) exudate fluid.
3. Brown adipose tissue is located:
a) between the scapula;
b) around hips;
c) around the neck;
d) behind the sternum.
4. Total scores of 0 to 3 according to Apgar scoring system represent:
a) severe distress;
b) moderate difficulty in adjusting to life;
c) absence of difficulty in adjusting to life;
d) all variants are right.
5. The child was born at term 30-31 wks of gestation with weight 1400 g.
Make the diagnose.
a) prematurity of I stage;
b) prematurity of II stage;
c) prematurity of III stage;
d) term newborn.
6. Describe grasp reflex of the infant.
VARIANT 4.
1. The perinatal period is the interval from:
a)
Birth until 28 days after birth;
b)
birth until 7 days after birth;
c)
8 til 28 days after birth;
d)
the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. The surfactant is produced by:
a)
the lymphatic vessels;
b)
the pulmonary capillaries;
c)
the alveolar epithelium;
d)
the endothelium.
3. Deeper layers of brown adipose tissue are located:
a)
around the kidneys;
b)
around trachea;
c)
around the liver;
d)
around the heart.
4. Total scores of 4 to 6 according to Apgar scoring system represent:
a)
severe distress;
b)
moderate difficulty in adjusting to life;
c)
absence of difficulty in adjusting to life;
d)
all variants are right.
5. The child was born at term 39-40 wks of gestation with weight 3400 g. Make
the diagnose.
a)
prematurity of I stage;
b)
prematurity of II stage;
c)
prematurity of III stage;
d)
term newborn.
6. Describe Babinski's reflex of the infant.
VARIANT 5.
1. The intranatal period is the interval from:
a)
the beginning of delivery until the birth;
b)
birth until 28 days after birth;
c)
birth until 7 days after birth;
d)
8 til 28 days after birth.
2. Surfactant acts like:
a) detergent;
b) lung fluid;
c) exudate fluid
d) blood.
3. The emptying time of the stomach in neonatal period is:
a)
1-1.5 hrs;
b)
2-2.5 hrs;
c)
2.5-3 hrs;
d)
3.5-4 hrs.
4. Total scores of 7 to 10 according to Apgar scoring system represent:
a)
severe distress;
b)
moderate difficulty in adjusting to life;
c)
absence of difficulty in adjusting to life;
d)
all variants are right.
5. The child was born at term 27-28 wks of gestation with weight 900 g. Make
the diagnose.
e)
prematurity of I stage;
f)
prematurity of II stage;
g)
prematurity of III stage;
h)
prematurity of IV stage.
6. Describe Babinski's reflex of the infant.
VARIANT 6.
1. The late antenatal period is the interval from:
a)
the 28th till the 40th week of intrauterine life.
b)
birth until 7 days after birth;
c)
8 til 28 days after birth;
d)
the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. The
of:
a)
b)
c)
d)
defficient secretion of surfactant in neonate leads to the development
pneumonia of neonate;
respiratory distress syndrome;
asphyxia;
absence of the first breath.
3. Passage of meconium should occur within the first:
a) 36 hours;
b) 24 hours;
c) 12 hours;
d) 6 hours.
4. A score of 1 (according to Apgar scoring system) is given to:
a) Some flexion of extremities;
b) Slow or irregular respiration;
c) Good crying;
d) Active motion.
5. The child’s ASS score at 1 min. is 6. Make conclusion.
a) severe distress;
b) moderate difficulty in adjusting to life;
c) absence of difficulty in adjusting to life;
d) all variants are right.
6. Describe Moro reflex of the infant.
VARIANT 8.
1. The late neonatal is the interval:
a. From birth until 28 days after birth;
b. from birth until 7 days after birth;
c. from 8 til 28 days after birth;
d. the 28th week of intrauterine life till the end of 7 day of infant’s life.
2. The respiratory distress syndrome is the result of:
a) Airway obstruction;
b) infection related to accumulation of pulmonary secretion;
c) ineffective airway clearance;
d) surfactant defficiency.
3. What stools appear on the 2nd-3rd day of infants life?
a) meconium;
b) transitional stools;
c) typical milk stools;
d) diarrheal stools.
4. A score of 2 (according to Apgar scoring system) is given to:
a) Some flexion of extremities;
b) Slow or irregular respiration;
c) Good crying;
d) Active motion.
5. The newborn child at 1 min. after birth shows pink body with bluish
extremities, heart rate 135 beats/minute, shallow and irregular respirations,
the extremities are flexed and close to the body and the fist is tightly
clenched, the response to passing a catheter is a loud, angry cry. What is his
Apgar score?
a) 10 points;
b) 9 points;
c) 8 points;
d) 6 points.
6. Describe Perez reflex of the infant.
VARIANT 9.
1. The late antenatal period is the interval from:
a) birth until 7 days after birth;
b) 8 til 28 days after birth;
c) the 28th week of intrauterine life till the end of 7 day of infant’s life.
d) the 28th till the 40th week of intrauterine life.
2. Respiratory distress syndrome more frequently develops in:
a) preterm infants;
b) term infants;
c) postmature infants.
3. The yellow to golden in colour and pasty in consistency stools are called:
a) meconium;
b) transitional stools;
c) typical milk stools;
d) diarrheal stools.
4. A score of 2 (according to Apgar scoring system) is given to:
a) Some flexion of extremities;
b) Slow or irregular respiration;
c) Cough or sneeze;
d) Completely pink color of skin.
5. The newborn child at 1 min. after birth shows pink body with bluish
extremities, heart rate 96 beats/minute, shallow and irregular respirations,
the extremities are flexed and close to the body and the fist is tightly
clenched, the response to passing a catheter is a facial grimace. What is his
Apgar score?
a) 9 points;
b) 8 points;
c) 7 points;
d) 6 points.
6. Describe crawling reflex of the infant.
Right answers to tests to newborn.
V.1: 1-a; 2-a+b+c; 3-c; 4-a+c+d; 5-b.
V.2:1-b; 2-a; 3-c; 4-b; 5-a.
V.3:1-c; 2-a; 3-a+c+d; 4-a; 5-c.
V.4:1-d; 2-c; 3-a+b; 4-b; 5-d.
V.5:1-a; 2-a; 3-c; 4-c; 5-h.
V.6:1-a; 2-b(допуск.c,d); 3-b; 4-a+b; 5-b.
V.7:1-c; 2-d; 3-b; 4-c+d; 5-c.
V.8:1-d; 2-a; 3-c; 4-c+d; 5-d.
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