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Diseases and Injuries of the Term Newborn

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Of the following, which is the most common cause of respiratory distress syndrome in a term infant?

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a. Severe asphyxia

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b. Meconium aspiration

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c. Elective cesarean delivery

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d. Perinatal infection with sepsis syndrome

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Which of the following statements regarding intrapartum amnioinfusion is true?

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a. It improves the perinatal death rate.

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b. It decreases cesarean delivery rates.

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c. It prevents meconium aspiration syndrome.

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d. It has been used successfully in women with variable fetal heart rate decelerations.

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Hyperalertness, irritability, and hyper/hypotonia define which level of hypoxic-ischemic encephalopathy?

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a. Mild

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b. Severe

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c. Moderate

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d. None of the above

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Which form(s) of cerebral palsy result(s) from acute peripartum ischemia?

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a. Ataxia

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b. Spastic diplegia

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c. Spastic quadriplegia

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d. All of the above

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Which of the following is NOT a risk factor for neonatal acidosis?

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a. Thick meconium

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b. General anesthesia

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c. Prior cesarean delivery

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d. Maternal age < 35 years

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Which of the following is NOT strongly predictive of cerebral palsy?

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a. Perinatal infection

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b. Birthweight < 2000 g

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c. Obstetrical complication

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d. Birth earlier than 32 weeks’ gestation

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Which of the following statements regarding intrapartum fetal heart rate monitoring is true?

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a. There are no specific fetal heart rate patterns predictive of cerebral palsy.

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