Neonatal Health and Disorders Quiz

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Questions and Answers

Growth is _______ change in the child's functioning

  • a qualitative
  • the progressive increase in skill and capacity to function
  • measured through observation in the child's body
  • a quantitative (correct)

Which cranial nerve (CN) does facial palsy affect?

  • CN VII (correct)
  • CN VI
  • CN VIII
  • CN V

Omphalitis is an infection in newborn children:

  • Umbilical stump (correct)
  • Pharynx
  • Ears
  • Eyes

Which type of therapy would a neonate of brachial palsy need MOST?

<p>Physiotherapy (B)</p> Signup and view all the answers

Haemorrhage is hypoxemic (Saturations < 92%) and presence of secretions in the nostrils. Which of the following interventions must the nurse carry out FIRST?

<p>Clear the airway by suctioning and administering intranasal oxygen (D)</p> Signup and view all the answers

Neonatal pemphigus is...

<p>an autoimmune skin disorder (C)</p> Signup and view all the answers

A 2-year-old boy presented with muscle rigidity, locked jaw, fever, and facial grimacing to your facility and his mother complained of poor feeding. Which of the following conditions might the child be suffering from?

<p>Tetanus (D)</p> Signup and view all the answers

Stranger anxiety is a normal developmental stage for children.

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

Phototherapy decreases unconjugated serum bilirubin levels by which one of the following mechanisms?

<p>Induction of the enzyme glucuronyl transferase in the liver, which increases bilirubin conjugation and liver excretion. (B)</p> Signup and view all the answers

Which of the following is a qualitative change in growth?

<p>the progressive increase in skill and capacity to function (A)</p> Signup and view all the answers

Which cranial nerve (CN) does facial palsy affect?

<p>CN VII (C)</p> Signup and view all the answers

Omphalitis is an infection in newborn children:

<p>Umbilical stump (D)</p> Signup and view all the answers

A nurse on duty observed that a 14-day-old neonate with intracranial haemorrhage is hypoxemic (Saturations<92%) and presence of secretions in the nostrils. Which of the following interventions must the nurse carry out FIRST?

<p>Clear the airway by suctioning and administering intranasal oxygen.</p> Signup and view all the answers

Neonatal pemphigus is...

<p>an autoimmune skin disorder (C)</p> Signup and view all the answers

A 2-year-old boy presented with muscle rigidity, locked jaw, fever, and facial grimacing to your facility and his mother complained of poor feeding. Which of the following conditions might the child be suffering from?

<p>Tetanus</p> Signup and view all the answers

Phototherapy decreases unconjugated serum bilirubin levels by which one of the following mechanisms?

Signup and view all the answers

Which of the following is the most IMPORTANT cause of jaundice presenting in the first 24 hours of life to EXCLUDE?

<p>Physiological jaundice (D)</p> Signup and view all the answers

A nurse on duty observed that a 14-day-old neonate with intracranial hemorrhage is hypoxemic (Saturations<92%) and presence of secretions in the nostrils. Which of the following interventions must the nurse carry out FIRST?

<p>Clear the airway by suctioning and administering intranasal oxygen (B)</p> Signup and view all the answers

Growth is ______ change in the child's functioning

<p>a quantitative (C)</p> Signup and view all the answers

Which cranial nerve (CN) does facial palsy affect?

<p>CN VII (D)</p> Signup and view all the answers

Omphalitis is an infection in newborn children:

<p>Umbilical stump (B)</p> Signup and view all the answers

Which type of therapy would a neonate of brachial palsy need MOST?

<p>Physiotherapy (B)</p> Signup and view all the answers

Phototherapy decreases unconjugated serum bilirubin levels by which one of the following mechanisms?

<p>Induction of the enzyme glucuronyl transferase in the liver, which increases bilirubin conjugation and liver excretion. (D)</p> Signup and view all the answers

The following statements are true about principles of growth and development EXCEPT

<p>Physical development proceeds from anterolateral body parts (D)</p> Signup and view all the answers

The pattern of development in children includes motor, social, emotional, cognitive and _______ skills

<p>language (D)</p> Signup and view all the answers

Erik Erikson developed the psychosocial theory of growth and development, at which stage does Industry vs. Inferiority occur?

<p>7 - 11 years (D)</p> Signup and view all the answers

Birth weight is double _______

<p>12 months (B)</p> Signup and view all the answers

Premature infants _______

<p>should be given vitamin K as soon as possible after birth (C)</p> Signup and view all the answers

All babies lose weight after birth, you should be concerned when _______

<p>weight loss is &gt; than 10% or birth weight in not regained by day 14 (B)</p> Signup and view all the answers

Current recommendations are that _______

<p>all babies should be exclusively breastfed until around 6 months (A)</p> Signup and view all the answers

Milk production is promoted by _______ after the activation of milk-making tissues

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

Baby Aba, now 14 weeks, her gestational age was 28 weeks. What is her corrected age?

<p>4 weeks old (B)</p> Signup and view all the answers

Flashcards

Growth in children

A quantifiable change in a child's physical body.

Facial Palsy CN

Affects the 7th cranial nerve (CN VII).

Omphalitis location

Infection in the umbilical stump of newborns.

Early jaundice exclusion

Rhesus incompatibility should be ruled out first in newborns with early jaundice.

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Neonate with brachial palsy

Requires physiotherapy for arm development.

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Hypoxic neonate

Neonate with low oxygen levels.

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Growth vs. development

Growth is physical, quantitative change, while development is qualitative, functional changes.

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Rhesus incompatability

A cause of newborn jaundice related to blood type incompatibility.

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Cranial nerve

Part of the nervous system that controls functions of the head and neck.

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Jaundice in newborns

Yellowish discoloration of the skin in a newborn, often caused by various reasons.

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EXCEPT - Growth & Dev. Pattern

Which statement about growth and development is NOT true?

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Child Dev. Pattern

Development involves motor, social, cognitive, and emotional skills.

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Erikson's Stage (6-12)

Industry vs. inferiority stage of psychosocial development.

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Corrected Age (Baby Aba)

Age adjusted for prematurity (28 weeks gestation).

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Neonatal Jaundice Priority

Monitor bilirubin levels as ordered by the doctor.

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Birth Weight Doubling

Babies typically double their birth weight by 6 months.

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Premature Infant Swallowing

May not be able to swallow until after 35 weeks.

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Premature Infant Body Fat

Lower body fat compared to term infants.

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Vit K Administration

Crucial for premature infants right after birth.

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Baby Weight Loss Concern

Significant weight loss exceeding 10% birthweight or not regained by day 14 is of concern.

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Infant Feeding Recommendations

Exclusive breastfeeding until 6 months, other feeding strategies may be considered.

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Milk Production Activation

Milk production is caused by the processes in the posterior pituitary.

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Exclusive Breastfeeding Duration

Recommended until 6 months.

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Bottle Feeding Option

Considered a suitable way of feeding for certain babies.

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Cow's Milk Introduction Age

Recommended for infants from 6 months of age.

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Solid Food Introduction Age

Solids can be introduced at 4 months of age.

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Weight Loss Percentage Concern

Weight loss below 5% of birthweight, or over 10% birthweight after first 14 days, requires medical attention.

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EXCEPT - Growth & Dev. Pattern

Which statement about growth and development is NOT true?

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Child Dev. Pattern

Development involves motor, social, cognitive, and emotional skills.

Signup and view all the flashcards

Erikson's Stage (6-12)

Industry vs. inferiority stage of psychosocial development.

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Corrected Age (Baby Aba)

Age adjusted for prematurity (28 weeks gestation).

Signup and view all the flashcards

Neonatal Jaundice Priority

Monitor bilirubin levels as ordered by the doctor.

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Birth Weight Doubling

Babies typically double their birth weight by 6 months.

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Premature Infant Swallowing

May not be able to swallow until after 35 weeks.

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Premature Infant Body Fat

Lower body fat compared to term infants.

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Vit K Administration

Crucial for premature infants right after birth.

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Baby Weight Loss Concern

Significant weight loss exceeding 10% birthweight or not regained by day 14 is of concern.

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Infant Feeding Recommendations

Exclusive breastfeeding until 6 months, other feeding strategies may be considered.

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Milk Production Activation

Milk production is caused by the processes in the posterior pituitary.

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Exclusive Breastfeeding Duration

Recommended until 6 months.

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Bottle Feeding Option

Considered a suitable way of feeding for certain babies.

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Cow's Milk Introduction Age

Recommended for infants from 6 months of age.

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Solid Food Introduction Age

Solids can be introduced at 4 months of age.

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Weight Loss Percentage Concern

Weight loss below 5% of birthweight, or over 10% birthweight after first 14 days, requires medical attention.

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Gross to Refined Skills

Development proceeds from large, general movements to smaller, more specific ones.

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Anterolateral Body Parts

Development often starts from the front and sides of the body.

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Continuous Development

Development is a lifelong process that happens through a person's life.

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Sequential Development

Development follows a specific order, or progression, and is not random.

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Study Notes

Stranger Anxiety

  • Growth is a quantitative change in the child's body.

Cranial Nerve (CN) Facial Palsy

  • Facial palsy affects CN VII.

Omphalitis

  • Omphalitis is an infection in newborn children's umbilical stump.

Jaundice Exclusion

  • Exclude breastfeeding, physiological jaundice, and prematurity when jaundice presents in the first 24 hours. Rhesus incompatibility should also be excluded.

Neonatal Brachial Palsy Therapy

  • The most important therapy for neonatal brachial palsy is physiotherapy.

Hypoxic Hemorrhage Interventions

  • Clear the airway by suctioning and administering intranasal oxygen is the first intervention for a hypoxic hemorrhage.

Neonatal Pemphigus

  • Neonatal pemphigus is an autoimmune skin disorder.

2-Year-Old Boy Symptoms

  • A 2-year-old boy presenting with muscle rigidity, locked jaw, fever, and facial grimacing could have tetanus.

Phototherapy Mechanism

  • Phototherapy decreases unconjugated bilirubin levels by isomerizing bilirubin to lumirubin, a water-soluble form excreted by the kidneys.

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