Obstetrics and Prenatal Complications

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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?

To prevent meconium aspiration syndrome Signup and view all the answers

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

To prevent pneumonia Signup and view all the answers

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

To improve lung compliance Signup and view all the answers

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

Persistent pulmonary hypertension of the newborn (PPHN) Signup and view all the answers

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

To prevent metabolic oxygen demand increase Signup and view all the answers

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

50% Signup and view all the answers

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

Excellent prognosis with no long-term health effects Signup and view all the answers

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

Several days Signup and view all the answers

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 Signup and view all the answers

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

Acyclovir Signup and view all the answers

Why may pregnant women be given preventive antibiotics?

If they have Chorioamnionitis or Group B strep colonization Signup and view all the answers

What is a possible contributing factor to SIDS?

Viral respiratory or botulism infection Signup and view all the answers

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

Admission to the hospital for monitoring Signup and view all the answers

What is a recommended practice to prevent sepsis in newborns?

Delivering the baby within 12 to 24 hours of when the membranes break Signup and view all the answers

What is a characteristic of affected infants who have SIDS?

They are typically well nourished Signup and view all the answers