Obstetrics and Prenatal Complications

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Questions and Answers

What is the primary reason for not administering oxygen under pressure to a meconium-stained infant?

  • To prevent lung compliance problems
  • To prevent driving small plugs of meconium farther down into the lungs (correct)
  • To avoid masking the signs of pneumonia
  • To reduce the risk of IUGR

What is the purpose of amnioinfusion in the management of a pregnancy with meconium-stained amniotic fluid?

  • To treat maternal hypertension
  • To dilute the amount of meconium in the amniotic fluid and reduce the risk of aspiration (correct)
  • To diagnose oligohydramnios
  • To induce labor

Which of the following maternal conditions is a risk factor for meconium-stained amniotic fluid?

  • Gestational diabetes
  • Maternal hypertension
  • Maternal chronic respiratory disease
  • Post-date pregnancy (correct)

What is the primary goal of suctioning a meconium-stained infant's trachea and bronchi after birth?

<p>To prevent meconium aspiration syndrome (A)</p> Signup and view all the answers

What is the indication for antibiotic therapy in a meconium-stained infant?

<p>To prevent pneumonia (A)</p> Signup and view all the answers

What is the purpose of administering surfactant to a meconium-stained infant?

<p>To improve lung compliance (D)</p> Signup and view all the answers

What is a potential complication of meconium aspiration that may require additional therapeutic interventions?

<p>Persistent pulmonary hypertension of the newborn (PPHN) (A)</p> Signup and view all the answers

What is the primary goal of maintaining a temperature neutral environment in an infant with meconium aspiration?

<p>To prevent metabolic oxygen demand increase (A)</p> Signup and view all the answers

What is the estimated percentage of babies with meconium-stained fluid that will have breathing problems?

<p>50% (B)</p> Signup and view all the answers

What is the expected outcome for most cases of meconium-stained fluid?

<p>Excellent prognosis with no long-term health effects (C)</p> Signup and view all the answers

What is the typical duration of rapid breathing in infants with meconium aspiration?

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

What is the purpose of chest physiotherapy with percussion and vibration in an infant with meconium aspiration?

<p>To remove remnants of meconium from the lungs (B)</p> Signup and view all the answers

What is the antiviral medicine used to treat HSV infections in newborns?

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

Why may pregnant women be given preventive antibiotics?

<p>If they have Chorioamnionitis or Group B strep colonization (B)</p> Signup and view all the answers

What is a possible contributing factor to SIDS?

<p>Viral respiratory or botulism infection (C)</p> Signup and view all the answers

What is the treatment approach for babies who need treatment and have already gone home after birth?

<p>Admission to the hospital for monitoring (D)</p> Signup and view all the answers

What is a recommended practice to prevent sepsis in newborns?

<p>Delivering the baby within 12 to 24 hours of when the membranes break (A)</p> Signup and view all the answers

What is a characteristic of affected infants who have SIDS?

<p>They are typically well nourished (B)</p> Signup and view all the answers

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