Hypothermia in Preterm Babies

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Which medication can be used to manage Patent Ductus Arteriosus (PDA) in premature infants?

Antibiotics

Prostaglandin antagonists (indomethacin, ibuprofen) (correct)

Corticosteroids

Diuretics

What may be a consequence of a failed medical treatment for Patent Ductus Arteriosus (PDA) in premature infants?

Need for surgical PDA ligation (correct)

Increased fluid intake

Decreased respiratory compromise

Improved respiratory status

Why are preterm infants unable to effectively suck and swallow, leading to the need for feeding through a tube?

Excessive fluid intake

Immature coordination of suck with swallow (correct)

Sensitivity to certain formulas

Delayed initiation of parenteral nutrition

Which of the following is a common complication of Parenteral Nutrition in premature infants?

Necrotizing Enterocolitis (NEC) Signup and view all the answers

How can feeding intolerance in preterm infants impact their progression to oral feeding?

Delay progression to oral feeding Signup and view all the answers

What is the classic radiological finding in Respiratory Distress Syndrome (RDS)?

Ground glass appearance with air bronchogram Signup and view all the answers

What is the main purpose of maternal antenatal steroid administration in pregnancies at risk of preterm delivery?

To improve fetal lung maturity Signup and view all the answers

What is the significance of a blood gas analysis in a neonate suspected to have RDS?

To assess for metabolic acidosis and hypoxemia Signup and view all the answers

Which respiratory support modality is commonly used to prevent alveolar atelectasis in preterm babies with RDS?

Nasal Continuous Positive Airway Pressure (NCPAP) Signup and view all the answers

What pathological consequences can high oxygen concentrations induce in preterm infants with RDS?

Bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP) Signup and view all the answers

What is the major hallmark in Respiratory Distress Syndrome (RDS)?

Deficiency of surfactant Signup and view all the answers

Which gestational age range do Type II pneumocytes, responsible for secreting pulmonary surfactant, differentiate in humans?

24-34 weeks Signup and view all the answers

What is the clinical presentation mostly observed in preterm babies affected by Respiratory Distress Syndrome (RDS)?

Tachypnea with nasal flaring Signup and view all the answers

What is Grunting an attempt to achieve in infants with RDS?

Produce positive end-expiratory pressure (PEEP) Signup and view all the answers

How does a deficiency of surfactant in RDS impact alveoli according to LaPlace’s law?

Leads to alveolar collapse Signup and view all the answers

Which category of premature infants has the highest incidence of complications?

Extremely low birthweight (ELBW) Signup and view all the answers

True or False: The severity of prematurity complications is directly proportional to gestational age.

False Signup and view all the answers

Which is a common risk factor for spontaneous preterm delivery?

History of previous preterm births Signup and view all the answers

What is the main purpose of administering antenatal steroids to pregnant women at risk of preterm delivery?

To facilitate fetal lung maturation Signup and view all the answers

What is the age of viability in preterm infants?

< 24 weeks gestation Signup and view all the answers

What is the recommended gestational age for resuscitation of infants according to most Neonatal practice guidelines?

24 weeks Signup and view all the answers

What complications are included in the initial, short-term management of prematurity according to the text?

Respiratory distress and ophthalmologic complications Signup and view all the answers

What is the significance of the 'grey zone' of viability in extremely preterm infants (EPI)?

It refers to the gestational age range between 22-23+6 weeks where shared medical decisions are crucial Signup and view all the answers

What are the major long-term concerns mentioned for extremely preterm infants?

Developmental disability and respiratory problems Signup and view all the answers

How does maternal antenatal steroid use affect fetal lung maturity?

Decreases the risk of RDS by promoting fetal lung maturation Signup and view all the answers