MCP PEDIA (Lesson 1&2)
Understanding Preterm Infants Quiz
This informative quiz is designed to test your knowledge about preterm infants, their gestation periods, and associated care needs. Whether you're a medical professional or a curious learner, this quiz offers valuable insights into neonatal care.
Key Features:
- 82 Questions Covering Essential Topics
- Multiple Choice and True/False Formats
- Perfect for Medical Students and Healthcare Professionals
A preterm infant is traditionally defined as a live-born infant born before the end of ________ of gestation.
40 weeks
39 weeks
38 weeks
37 weeks
Full term gestation is?
40 weeks
39 weeks
38 weeks
37 weeks
All preterm infants need intensive care from the moment of birth to give them their best chance of survival without neurologic after effects because they are more prone than others to
Hyperglycemia and intracranial hemorrhage
Hypoglycemia and intracranial hemorrhage
Hypertension and intracranial hemorrhage
Hypotension and intracranial hemorrhage
Born between 34 and 37 weeks
Late Preterm
Early Preterm
Moderate Premature
Extremely Premature
Born between 24 and 34 weeks
Late Preterm
Early Preterm
Moderate Premature
Extremely Premature
Very Premature
<37 weeks
<34 weeks
<32 weeks
<28 weeks
Moderate Premature
<37 weeks
<34 weeks
<32 weeks
<28 weeks
Extremely Premature
<37 weeks
<34 weeks
<32 weeks
<28 weeks
Late Preterm
<37 weeks
<34 weeks
<32 weeks
<28 weeks
Post Term
37 to 38 6/7 weeks
39 to 40 6/7 weeks
41 to 41 6/7 weeks
>42 weeks
Full Term
37 to 38 6/7 weeks
39 to 40 6/7 weeks
41 to 41 6/7 weeks
>42 weeks
Early Term
37-38 6/7 weeks
39-40 6/7 weeks
41-41 6/7 weeks
>42 weeks
Late Term
37-38 6/7 weeks
39-40 6/7 weeks
41-41 6/7 weeks
>42 weeks
The American College of Obstetricians and Gynecologists (ACOG) recommends late preterm delivery in conditions such as multiple gestation with complications, preeclampsia, placenta previa/placenta accreta, and premature rupture of membranes.
Spontaneous Preterm Delivery
Elective Preterm Delivery
ACOG recommends delivery as early as _______ in selected cases involving multiple gestation with complications.
27 weeks
30 weeks
32 weeks
34 weeks
In a given patient, spontaneous preterm delivery may or may not have an obvious immediate trigger (e.g. Infection like intra-Amniotic Infection, Infectious Disease in Pregnancy, and Placental Abruption.
Spontaneous Preterm Delivery
Elective Preterm Delivery
It is unclear how much risk these socioeconomic factors contribute independent of their effect on other risk factors (e.g. nutrition, access to medical care).
Past obstetric history
Current pregnancy-related factors
Socioeconomic factors
Prior multiple therapeutic abortions and/or more spontaneous miscarriages. Prior multiple pregnancies ( twins, triplets or more)
Past obstetric history
Current pregnancy/related factors
Socioeconomic factors
Pregnancy achieved by in vitro fertilization.
Pregnancy achieved by in vitro fertilization. Cigarette smoking
Past obstetric history
Current pregnancy/related factors
Socioeconomic factors
Small -weigh more than 2.5 kg
True
False
Thick, pink skin, underlying vein are easily seen
True
False
A term infant has well-developed cartilage with instant recoil.
True
False
Preterm infant at 28 weeks' gestation. Note the small amount of ear cartilage and/or flattened pinna.
True
False
Scrotum have more rugae
True
False
Undescended testes
True
False
Female labia do not cover the labia minora.
True
False
A ______ is a muscle reaction that happens involuntary in response to stimulation.
Motion
Reflex
Reflexes develop at different times during gestation.
True
False
It starts at 35 weeks and is most prominent at 1 month post term.
Moro reflex
Palmar reflex
Tonic neck reflex
Begins by 28 to 32 weeks gestation and is well established by 37 weeks.
Moro reflex
Palmar reflex
Tonic neck reflex
It starts at 28 weeks and is well established by 32 weeks.
Moro reflex
Palmar reflex
Tonic neck reflex
(pulling arms and legs in after hearing loud noise)
Sucking reflex
Step reflex
Startle reflex
Blinking reflex
(sucks when area around mouth is touched)
Sucking reflex
Step reflex
Startle reflex
Blinking reflex
Eyes blinks when they are touched or when a sudden bright light appears
Sucking reflex
Step reflex
Startle reflex
Blinking reflex
(stepping motions when sole of foot touches hard surface)
Sucking reflex
Step reflex
Startle reflex
Blinking reflex
Sneezing when the nasal passages are irritated
Cough reflex
Gag reflex
Sneeze reflex
Yawn reflex
Coughing when the airway is stimulated
Cough reflex
Gag reflex
Sneezing reflex
Yawn reflex
Yawning when the body needs more oxygen
Cough reflex
Gag reflex
Sneezing reflex
Yawn reflex
Which of the following is not an example of CNS Complications?
Poor sucking and swallowing reflex
Apneic episodes
Myopia and/or strabismus
Intraventricular hemorrhage
Developmental & / or cognitive delays
Which of the following is not an example of Optic Complications?
Retinopathy of prematurity (ROP)
Apneic episodes
Myopia and/or strabismus
Retinal vascularization is complete until near term.
True
False
What are the GI Tract Complications in Feeding Intolerance:
Small stomach
Immature sucking and swallowing reflex
Acquired disease
Inadequate gastric and intestinal motility
¬ risk of aspiration
Which of the following is not an example of Infection in Immunologic Complications?
Colitis
Sepsis
Meningitis
Inability to excrete fixed acids, which accumulate with high-protein formula feedings and as a result of bone growth.
Immunologic Complications
Nephrologic Complications
Respiratory Complications
Metabolic Complications
The highest priority in newborn assessment
Reflex irritability
Breathing
Skin color
Muscle tone
Premature babies are categorized as the following, except :
28-31 6/7 weeks of AOG-Very premature
32-33 6/7 weeks of AOG-Extremely premature
34-36 6/7 weeks of AOG-Late Preterm
41-41 6/7 weeks of AOG-Late term
Below are signs and symptoms of Premature Neonate, EXCEPT:
Weighing more than 2.5 kg
Thin, visible underlying vein
Poor subcutaneous fats
Lesser activity and tone
A tool use to assess prematurity of the newborn after delivery.
New Ballard Screening
Reflexes Screening
Apgar Score
Newborn Screening
The structure that connects the aorta to the pulmonary artery in utero is known as the:
Pulmonary vein
Left ventricle
Ligamentam arteriosum
Ductus arteriosus
An infant with PDA is admitted to the pediatric unit ward. The nurse anticipates which of the following problem of the infant?
Respiratory distress
Problem with vowel elimination
Fever
Hypothermia
Cesarean delivery is more likely when the birth involves.
Multiple babies
An older first time mother
A large for gestational age baby
All of these
Maternal risk factors for premature labor are the following, except;
Cigarette smoking
Prior post mature delivery
Untreated infection
Little or no prenatal care
Which statement is correct about Cryptorchidism?
Newborn testes is undescended.
Needs immediate surgical intervention.
Testes have less rugae
It causes bluish discoloration of the newborn.
The most common surgical emergency to premature baby
Necrotizing enterocolitis
Respiratory Distress Syndrome
Orchiopexy
Retinopathy of prematurity
Infection
Hyperneutrophilia
Microbial Accumultion
Septicemia
Bacteriosis
Cause of prematurity
Unknown
Idiopathic
Rarely exactly known
All of the above
Having previous abortions is a risk factor for prematurity under which category?
Socioeconomic factors
Current pregnancy-related factors
Past obstetric history
Never a factor at all
The following reflexes last into adulthood, EXCEPT?
Blinking reflex
Yawning reflex
Gag reflex
Sucking reflex
An infant born after 42 weeks gestation
Premature
Post mature
SGA
LGA
Fetal growth continues until placenta is working well. A complication of ________ could happen.
Microsomia
Microsome
Macrosomia
Macrosome
An infant greater than 4000 grams it occurs ______% post term pregnancies.
2-10%
3-10%
4-15%
5-15%
Ideal birth weight for post mature baby
1500g-2300g
2300g-3300g
3300g-4300g
2500g-3500g
Placenta function effectively for only ___ weeks ( after that it lose ability to carry nutrients fetus begins to lose weight)
38
39
40
41
May result from cord compression secondary to oligohydramnios.
Hypoglycemia
Asphyxia
Hyperglycemia
Meconium aspiration syndrome
During labor post mature infants are prone to develop, EXCEPT
Asphyxia
Hypoglycemia
Hyperglycemia
Meconium aspiration syndrome
It is caused by insufficient glycogen stores at birth.
Asphyxia
Hypoglycemia
Meconium aspiration syndrome
Hyperglycemia
It may usually severe because amniotic fluid volume is decreased and thus the aspirated meconium is less diluted
Asphyxia
Hypoglycemia
Meconium aspiration syndrome
Hyperglycemia
Alert and appear mature but have ⬇ amount of soft tissue mass.
True
False
Cracked, smooth skin may hang loosely in the extremities.
True
False
Post mature baby has a long fingernails and toenails. Fingernails will have grown well beyond the end of the fingertips.
True
False
The nails and umbilical cord may be stained with meconium.
True
False
A condition resulting from the body not getting oxygen.
Asphyxia
Anemia
Polycythemia
Hypoxia
Post mature neonates are the following, except:
Alert and appear mature but have less amount of soft tissue mass.
Cracked, dry, leather like skin
Short fingernails, toenails
Stained umbilical cord with meconium.
Placental lost effectiveness after 40 weeks
True
False
Post mature infants are alert & appear mature, they also have insufficient glycogen stores. This could eventually lead to a complication of:
Hypoglycemia
Meconium aspiration
Hypoxia
Macrosomia
This condition predisposes the woman to an oversized fetus:
Occipitoposterior position.
Gestational Diabetes Mellitus
Primiparity
Placental insufficiency syndrome
Oligohydramnios resulted from:
Kidney immaturity
Placental insufficiency
Decrease blood flow to the brain
Increase blood flow to the kidney
Ana, 30 weeks pregnant was diagnosed with gestational DM. Which of her statement signifies nursing interventions.
Hopefully my baby will be normal with proper compliance to treatment.
I may have a possible cesarean delivery.
My baby is expected to be large.
There will be no complications in my pregnancy.
A high content of red blood cells builds up in response to low oxygen concentration.
Polycythemia
Hypothermia
Polyglycemia
HypoxemiA
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