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Diseases and Injuries of the Term Newborn

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

a. Severe asphyxia

b. Meconium aspiration

c. Elective cesarean delivery

d. Perinatal infection with sepsis syndrome

Which of the following statements regarding intrapartum amnioinfusion is true?

a. It improves the perinatal death rate.

b. It decreases cesarean delivery rates.

c. It prevents meconium aspiration syndrome.

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

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

a. Mild

b. Severe

c. Moderate

d. None of the above

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

a. Ataxia

b. Spastic diplegia

c. Spastic quadriplegia

d. All of the above

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

a. Thick meconium

b. General anesthesia

c. Prior cesarean delivery

d. Maternal age < 35 years

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

a. Perinatal infection

b. Birthweight < 2000 g

c. Obstetrical complication

d. Birth earlier than 32 weeks’ gestation

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

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

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