18 Questions
What is the primary reason for not administering oxygen under pressure to a meconium-stained infant?
To prevent driving small plugs of meconium farther down into the lungs
What is the purpose of amnioinfusion in the management of a pregnancy with meconium-stained amniotic fluid?
To dilute the amount of meconium in the amniotic fluid and reduce the risk of aspiration
Which of the following maternal conditions is a risk factor for meconium-stained amniotic fluid?
Post-date pregnancy
What is the primary goal of suctioning a meconium-stained infant's trachea and bronchi after birth?
To prevent meconium aspiration syndrome
What is the indication for antibiotic therapy in a meconium-stained infant?
To prevent pneumonia
What is the purpose of administering surfactant to a meconium-stained infant?
To improve lung compliance
What is a potential complication of meconium aspiration that may require additional therapeutic interventions?
Persistent pulmonary hypertension of the newborn (PPHN)
What is the primary goal of maintaining a temperature neutral environment in an infant with meconium aspiration?
To prevent metabolic oxygen demand increase
What is the estimated percentage of babies with meconium-stained fluid that will have breathing problems?
50%
What is the expected outcome for most cases of meconium-stained fluid?
Excellent prognosis with no long-term health effects
What is the typical duration of rapid breathing in infants with meconium aspiration?
Several days
What is the purpose of chest physiotherapy with percussion and vibration in an infant with meconium aspiration?
To remove remnants of meconium from the lungs
What is the antiviral medicine used to treat HSV infections in newborns?
Acyclovir
Why may pregnant women be given preventive antibiotics?
If they have Chorioamnionitis or Group B strep colonization
What is a possible contributing factor to SIDS?
Viral respiratory or botulism infection
What is the treatment approach for babies who need treatment and have already gone home after birth?
Admission to the hospital for monitoring
What is a recommended practice to prevent sepsis in newborns?
Delivering the baby within 12 to 24 hours of when the membranes break
What is a characteristic of affected infants who have SIDS?
They are typically well nourished
This quiz covers various complications that can arise during pregnancy, including gestational hypertension, diabetes, and respiratory disease, as well as fetal complications such as IUGR and abnormal heart rate patterns.
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