Newborn Examination
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Questions and Answers

Which of the following is the purpose of the newborn examination?

  • To observe the baby's skin color
  • To assess the baby's weight and height
  • To check for potential problems arising from maternal or familial disease
  • To detect congenital anomalies not already detected at birth (correct)
  • During the newborn examination, what should be checked within 24 hours of birth?

  • The baby's weight and height
  • The baby's fontanelles
  • The baby's respiratory effort
  • The baby's skin lesions (correct)
  • What is the significance of oedema and moulding in the newborn's skull?

  • They are signs of respiratory distress
  • They are normal findings in all newborns
  • They indicate a potential congenital anomaly
  • They can reduce the diameter of the skull temporarily (correct)
  • What is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Cranial ultrasound</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Heart rate of 71/min</p> Signup and view all the answers

    Which one of these is a benign condition in a baby born at the limit of viability by gestational age?

    <p>Caput succedaneum</p> Signup and view all the answers

    Which one of these is the correct step to prepare and weigh a newborn baby?

    <p>Weigh the baby naked</p> Signup and view all the answers

    Which one of these is a potential problem arising from maternal or familial disease that should be checked during the newborn examination?

    <p>Familial disease history</p> Signup and view all the answers

    Which one of these is a purpose of checking the baby's back during the newborn examination?

    <p>To detect congenital anomalies</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Red light reflexes or orange yellow in dark skinned neonates</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Respiratory distress</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Surgical closure of the back</p> Signup and view all the answers

    What is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intramuscular vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    Which one of these is a potential problem arising from maternal or familial disease that should be checked during the newborn examination?

    <p>Maternal pyrexia</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Moulding of the skull</p> Signup and view all the answers

    What is the significance of oedema and moulding in the newborn's skull?

    <p>They are normal findings in a newborn baby</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

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

    Which one of these is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K only</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Respiratory rate of 50/min</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Cranial ultrasound</p> Signup and view all the answers

    During the newborn examination, what should be checked within 24 hours of birth?

    <p>Symmetrical movements and posture</p> Signup and view all the answers

    What is the significance of oedema and moulding in the newborn's skull?

    <p>They can reduce the diameter of the skull temporarily</p> Signup and view all the answers

    Which one of these is a potential problem arising from maternal or familial disease that should be checked during the newborn examination?

    <p>Maternal pyrexia</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Presence of a soft tissue swelling over the head</p> Signup and view all the answers

    What is the significance of a hump at the back in a newborn baby?

    <p>It may indicate a spinal deformity</p> Signup and view all the answers

    Which one of these is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Cranial ultrasound</p> Signup and view all the answers

    Which one of these is NOT a purpose of the newborn examination?

    <p>To evaluate the baby's respiratory effort</p> Signup and view all the answers

    What is the significance of cyanosis in a newborn baby?

    <p>It suggests respiratory distress in the baby</p> Signup and view all the answers

    What is the purpose of checking the baby's back during the newborn examination?

    <p>To detect congenital anomalies not already detected at birth</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Midline lumbrosacral cystic lesion</p> Signup and view all the answers

    Which one of these is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Cranial ultrasound</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Heart rate of 71/min</p> Signup and view all the answers

    Which one of these is the purpose of the newborn examination?

    <p>To detect congenital anomalies not already detected at birth</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Cyanosis when the baby is at rest but regains color when crying</p> Signup and view all the answers

    What is the significance of oedema and moulding in the newborn's skull?

    <p>They can reduce the diameter of the skull temporarily</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Red light reflexes</p> Signup and view all the answers

    What is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    Which one of these is a potential problem arising from maternal or familial disease that should be checked during the newborn examination?

    <p>Congenital goiter</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Breathing difficulty</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Weight loss</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Skin lesions</p> Signup and view all the answers

    What is the significance of oedema and moulding in the newborn's skull?

    <p>They can reduce the diameter of the skull temporarily</p> Signup and view all the answers

    Which one of these is a concerning finding in a newborn baby's physical examination?

    <p>Cephalohematoma (Sub periosteal bleed)</p> Signup and view all the answers

    Which one of these is a normal finding in a newborn baby's physical examination?

    <p>Symmetry Set/shape</p> Signup and view all the answers

    Which one of these is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K only</p> Signup and view all the answers

    Which one of these is the next best step for a newborn baby born with a midline lumbrosacral cystic lesion and an occipitofrontal circumference above the 90th percentile?

    <p>Surgical closure of the back</p> Signup and view all the answers

    Which one of these is a potential problem that should be checked during the newborn examination?

    <p>Cyanosis at rest</p> Signup and view all the answers

    Which one of these is the correct step to prepare and weigh a newborn baby?

    <p>Weigh the baby with a diaper on</p> Signup and view all the answers

    What is the significance of oedema and moulding in the newborn's skull?

    <p>They show improvement within 24 hours</p> Signup and view all the answers

    Which one of these is a potential problem arising from maternal or familial disease that should be checked during the newborn examination?

    <p>Spina Bifida</p> Signup and view all the answers

    What is the significance of cyanosis in a newborn baby?

    <p>It indicates a congenital heart defect</p> Signup and view all the answers

    Which one of these is the BEST treatment for a 7-day-old term boy with bruising and bleeding from the umbilical stump, normal full blood count, and elevated prothrombin time and activated partial thromboplastin time?

    <p>Intravenous vitamin K plus fresh frozen plasma</p> Signup and view all the answers

    What is the BEST treatment for a 12-hour-old term baby with a weight of 4.4 kg, Hb of 15.8 g/dL, heart rate of 71/min, OFC of 37 cm, and respiratory rate of 50/min?

    <p>Intramuscular vitamin K only</p> Signup and view all the answers

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