Q1 Signs of neonatal hypoglycaemia are nonspecific and extremely variable

True      False      Don't Know


Q2 Hyperinsulinaemia is the most common endocrinologic disturbance resulting in neonatal hypoglycaemia

True      False      Don't Know


Q3 Most hepatic glycogen is accumulated during the second trimester before slowing down in the third

True      False      Don't Know


Q4 A 30 week 1.3 kg baby is just born. His current nutritional needs will be best provided by feeding on mother’s breast

True      False      Don't Know


Q5 An infant of diabetic mother is admitted to the NICU. His birthweight is 4.6 kg. His respiratory rate is 100 per minute. To avoid hypoglycaemia he should be tube fed 35 ml of full strength milk immediately.

True      False      Don't Know


Q6 A full term infant of birthweight 2.3 kg is born in a Maternity Home. His dextrostix at 1 hour of life is 2.0 mmol/L. He is otherwise well. He should be offered feeding immediately and dextrostix repeated in an hour’s time

True      False      Don't Know


Q7

Scenario continues from no 6...

Repeat dextrostix after 1 hour is 2.2 mmol/L The infant should be transferred to a hospital with neonatal intensive care immediately

True      False      Don't Know


Q8 A very low birth weight infant (1.4 kg) is being ventilated for respiratory distress syndrome. On day 3 enteral feeding is ordered. Feeding of choice at this time is low birthweight formula

True      False      Don't Know


Q9 A 12 day old infant presents to the outpatient department for frequent vomiting after feeding. His birth weight was 3.1 kg and his present weight is 2.7 kg. He is on formula milk and appears very active otherwise He will be best treated by changing the brand of formula and reviewing in 1 week’s time

True      False      Don't Know


Q10

A 36 weeks’ 2.0 kg infant is nursed with the mother in the maternity ward

Mother should be supported and encouraged to breastfeed and supplementary formula feeds (maybe by cup or spoon) should also be offered till lactation is established

True      False      Don't Know


Q11

A 980 gms baby is being fed on expressed breastmilk at 6 ml 3 hourly. At each aspirate before feeding 2-3 ml of milk is obtained. He is well otherwise.

Feeding tolerance is likely to improve if feeding is given via a perfusor at 2 ml an hour

True      False      Don't Know


Q12 Human milk fortifier is necessary for all babies fed on breast milk in the NICU

True      False      Don't Know

 


 

 

 

 

 

 

 

 

 

 

 

 

Your Score is  point(s) !

 


Marking Scheme

Correct answer - Add 1 point
Wrong answer - Minus 1 point
DK/no answer - 0 point

 

 

 

Answers

Q1 Signs of neonatal hypoglycaemia are nonspecific and extremely variable

Answer: TRUE


Q2 Hyperinsulinaemia is the most common endocrinologic disturbance resulting in neonatal hypoglycaemia

Answer: TRUE


Q3 Most hepatic glycogen is accumulated during the second trimester before slowing down in the third

Answer: It is the ‘third trimester


Q4 A 30 week 1.3 kg baby is just born. His current nutritional needs will be best provided by feeding on mother’s breast

Answer: To be able to suck the infant needs to be at least 32 weeks and 1.5 kg


Q5 An infant of diabetic mother is admitted to the NICU. His birthweight is 4.6 kg. His respiratory rate is 100 per minute. To avoid hypoglycaemia he should be tube fed 35 ml of full strength milk immediately.

Answer: This child needs to be investigated and managed for tachypnoea. It is advisable to keep nil orally at this stage as feeding may not be tolerated in a sick child and may lead to aspiration


Q6 A full term infant of birthweight 2.3 kg is born in a Maternity Home. His dextrostix at 1 hour of life is 2.0 mmol/L. He is otherwise well. He should be offered feeding immediately and dextrostix repeated in an hour’s time

Answer: TRUE


Q7

Scenario continues from no 6...

Repeat dextrostix after 1 hour is 2.2 mmol/L The infant should be transferred to a hospital with neonatal intensive care immediately

Answer: Q7: The infant needs to have a dextrose infusion set up, dextrostix repeated and normalised (iv bolus 10% D/W may be required) before transfer


Q8 A very low birth weight infant (1.4 kg) is being ventilated for respiratory distress syndrome. On day 3 enteral feeding is ordered. Feeding of choice at this time is low birthweight formula

Answer: Expressed breastmilk is the feeding of choice


Q9 A 12 day old infant presents to the outpatient department for frequent vomiting after feeding. His birth weight was 3.1 kg and his present weight is 2.7 kg. He is on formula milk and appears very active otherwise He will be best treated by changing the brand of formula and reviewing in 1 week’s time

Answer: Different brand of same type of formula will not make a difference. He has excessive weight loss (>10% BW) and needs to be investigated. Differential diagnoses of gastroesophageal reflux, cow’s milk protein intolerance, pyloric stenosis and poor feeding techniques require specific management


Q10

A 36 weeks’ 2.0 kg infant is nursed with the mother in the maternity ward

Mother should be supported and encouraged to breastfeed and supplementary formula feeds (maybe by cup or spoon) should also be offered till lactation is established

Answer: TRUE


Q11

A 980 gms baby is being fed on expressed breastmilk at 6 ml 3 hourly. At each aspirate before feeding 2-3 ml of milk is obtained. He is well otherwise.

Feeding tolerance is likely to improve if feeding is given via a perfusor at 2 ml an hour

Answer: TRUE


Q12 Human milk fortifier is necessary for all babies fed on breast milk in the NICU

Answer: Human milk is needed only for fortification of expressed breastmilk for the preterm or low birthweight babies

 


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