Hypothermia in Preterm Babies
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Questions and Answers

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?

<p>Necrotizing Enterocolitis (NEC) (C)</p> Signup and view all the answers

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

<p>Delay progression to oral feeding (B)</p> Signup and view all the answers

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

<p>Ground glass appearance with air bronchogram (D)</p> Signup and view all the answers

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

<p>To improve fetal lung maturity (B)</p> Signup and view all the answers

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

<p>To assess for metabolic acidosis and hypoxemia (A)</p> Signup and view all the answers

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

<p>Nasal Continuous Positive Airway Pressure (NCPAP) (B)</p> Signup and view all the answers

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

<p>Bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP) (D)</p> Signup and view all the answers

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

<p>Deficiency of surfactant (C)</p> Signup and view all the answers

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

<p>24-34 weeks (D)</p> Signup and view all the answers

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

<p>Tachypnea with nasal flaring (A)</p> Signup and view all the answers

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

<p>Produce positive end-expiratory pressure (PEEP) (B)</p> Signup and view all the answers

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

<p>Leads to alveolar collapse (A)</p> Signup and view all the answers

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

<p>Extremely low birthweight (ELBW) (D)</p> Signup and view all the answers

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

<p>False (A)</p> Signup and view all the answers

Which is a common risk factor for spontaneous preterm delivery?

<p>History of previous preterm births (C)</p> Signup and view all the answers

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

<p>To facilitate fetal lung maturation (C)</p> Signup and view all the answers

What is the age of viability in preterm infants?

<p>&lt; 24 weeks gestation (B)</p> Signup and view all the answers

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

<p>24 weeks (A)</p> Signup and view all the answers

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

<p>Respiratory distress and ophthalmologic complications (D)</p> Signup and view all the answers

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

<p>It refers to the gestational age range between 22-23+6 weeks where shared medical decisions are crucial (D)</p> Signup and view all the answers

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

<p>Developmental disability and respiratory problems (C)</p> Signup and view all the answers

How does maternal antenatal steroid use affect fetal lung maturity?

<p>Decreases the risk of RDS by promoting fetal lung maturation (A)</p> Signup and view all the answers

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