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Quiz Questions (18 questions)
1. Forceps-assisted delivery places the newborn at greatest risk for facial nerve palsy.
2. A 32-week gestation newborn is expected to have decreased or no vernix.
3. Mongolian spots are blue-grey pigmented lesions on the sacral area that are clearly demarcated and do not fade on pressure.
4. Cephalohematoma is a non tender swelling of the head in a newborn that does not cross the suture line.
5. Erythema toxicum neonatorum presents with erythematous macules that are 2 to 3 cm in diameter, scattered over the face and proximal extremities, sparing the palms and soles, with each macule having a 1 to 3 cm central vesicle or pustule; a smear of the vesicopustular contents reveals a predominance of eosinophils.
6. Klumpke's palsy involves C8 and T1.
7. A 900-gram male infant is delivered vaginally to a mother who received no prenatal care; thin, smooth, and shiny skin is most consistent with prematurity rather than intrauterine growth restriction (IUGR).
8. A 24-months-old boy should be able to copy a circle.
9. A normal child must walk alone by 18 months.
10. Salmon patch presents as multiple pale pink vascular macules located in the nuchal area, glabella, and both eyelids.
11. Cephalohematoma is a nontender swelling of the head in a 12-hour-old newborn that does not cross the suture line.
12. Symmetrical intrauterine growth restriction (IUGR) is consistent with the circumference of the head being proportional to the rest of the body.
13. A transverse linear fracture in a 3-week-old baby requires admission to NICU and observation.
14. Cephalohematoma is a non tender swelling of the head in a 12-hour-old newborn that does not cross the suture line.
15. A post-term newborn is likely to have long bile-stained nails, dry desquamating skin, and scanty lanugo hair.
16. Injury to C5-C6 brachial plexus structures results in the arm being adducted and internally rotated, with the forearm extended and pronated, and the wrist flexed; the Moro reflex is present on the right side but absent on the left side.
17. Erythema toxicum neonatorum is a benign condition that requires no treatment, and examination of the fluid from the rash may reveal eosinophils.
18. A 3-day-old infant with a seizure and massive intracranial hemorrhage, along with numerous bruises on the abdomen and trunk, is most likely exclusively breastfed.
Previous Exam Questions (10 questions)
1. Maternal systemic disease, such as hypertension, can result in placental insufficiency, leading to a newborn with a normal head circumference but disproportionately small body and limbs.
2. Caput succedaneum presents clinically as swelling of the soft tissue of the scalp that crosses suture lines and typically disappears within the first few days of life.
3. Mongolian spots are the most likely diagnosis for a 1-week-old newborn presenting with large, fairly well-defined, blue-gray macules over the buttocks bilaterally, which are not palpable, warm, or tender, and have been present since birth.
4. A blue-gray pigmented lesion on the sacral area of a newborn that is clearly demarcated and does not fade into the surrounding skin is most likely a Mongolian spot.
5. The best management for a flat, red-colored lesion on the glabella of a newborn that becomes darker when he cries, also known as a salmon patch, is observation, as these lesions typically fade over time.
6. Maternal systemic disease, such as hypertension, results in placental insufficiency, which can lead to a neonate with a normal head circumference but small body and limbs.
7. A clinical feature of caput succedaneum is swelling of the soft tissue of the scalp that crosses suture lines, and the outcome is that it typically disappears within the first few days of life.
8. The most likely diagnosis for a 1-week-old newborn presenting with large, fairly well-defined, blue-gray macules over the buttocks bilaterally, which are not palpable, warm, or tender, and have been present since birth, is Mongolian spots.
9. The most likely diagnosis for a newborn infant with a blue-gray pigmented lesion on the sacral area that is clearly demarcated and does not fade into the surrounding skin is a Mongolian spot.
10. The best management for a newborn with a flat, red-colored lesion on the glabella that becomes darker when he cries, also known as a stork bite, is observation, as these lesions typically fade over time; this is a salmon patch.
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Alright man, let's break down some important stuff about newborn care and common issues. This is really important for your exams. **Birth Injuries** can happen during delivery. For example, **skull fractures** can occur in utero from pressure against the bones or from **forceps-assisted delivery**....
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