Nokea
A neonate whose birth weight is 1201 grams is regarded as
- A. Genetically small neonate
- B. Low birth weight neonate
- C. Very low birth weight neonate
- D. Extremely low birth weight neonate
Correct Answer: C
Rationale: The correct answer is C: Very low birth weight neonate. This designation is given to infants whose birth weight is less than 1500 grams. In this case, the neonate's weight of 1201 grams falls within the criteria for very low birth weight. Choice A is incorrect because being genetically small does not necessarily equate to low birth weight. Choice B is incorrect as low birth weight typically refers to infants weighing between 1500-2499 grams. Choice D is incorrect as extremely low birth weight pertains to infants weighing less than 1000 grams.
You may also like to solve these questions
Which of the following is an indication for forceps delivery?
- A. Cephalopelvic disproportion
- B. Occipito posterior position
- C. Breech presentation
- D. Placenta abruption
Correct Answer: B
Rationale: The correct answer is B: Occipito posterior position. Forceps delivery may be indicated in this situation to help rotate the baby's head and facilitate delivery. Occipito posterior position can lead to prolonged labor and fetal distress, making forceps delivery necessary for a safe delivery.
Incorrect choices:
A: Cephalopelvic disproportion is not an indication for forceps delivery as it refers to mismatch between the size of the baby's head and the mother's pelvis.
C: Breech presentation typically requires a different approach such as cesarean section rather than forceps delivery.
D: Placenta abruption, a medical emergency, would not be managed with forceps delivery but rather require immediate intervention to prevent harm to both the mother and baby.
The engaging diameter in a face presentation is
- A. Sub-mento vertical diameter
- B. Sub-mento bregmatic diameter
- C. Mento vertical diameter
- D. Sub-occipito bregmatic diameter
Correct Answer: A
Rationale: The engaging diameter in a face presentation is the sub-mento vertical diameter. This is the correct answer because it represents the distance from the tip of the chin (mentum) to the highest point on the skull (vertex), which is the most critical diameter for the face to descend through the pelvis during childbirth.
Choice B (Sub-mento bregmatic diameter) is incorrect because it represents the distance from the tip of the chin to the anterior fontanelle, not the highest point on the skull.
Choice C (Mento vertical diameter) is incorrect because it refers to the distance from the chin to the base of the skull, not the highest point on the skull.
Choice D (Sub-occipito bregmatic diameter) is incorrect because it represents the distance from the base of the skull to the anterior fontanelle, not involving the chin.
Teratogenic causes of congenital abnormalities include
- A. Medical conditions and pesticides
- B. Prescription drugs and chromosomes
- C. Radiation and substances of abuse
- D. Disordered genes and medical conditions
Correct Answer: C
Rationale: The correct answer is C because radiation and substances of abuse are known teratogenic causes of congenital abnormalities. Radiation exposure can lead to genetic mutations and developmental issues in the fetus. Substances of abuse like alcohol, tobacco, and illicit drugs can also negatively impact fetal development.
A: Medical conditions and pesticides may have negative effects on pregnancy outcomes, but they are not typically classified as teratogenic causes of congenital abnormalities.
B: Prescription drugs can be teratogenic in some cases, but not all prescription drugs have harmful effects on fetal development. Chromosomes are not typically considered teratogenic causes.
D: Disordered genes can lead to congenital abnormalities, but they are not classified as teratogenic causes. Medical conditions are not universally teratogenic.
The main clinical feature in hyperemesis gravidarum is
- A. Persistent vomiting or nausea
- B. Persistent sight-related problems
- C. Persistent diarrhoea and vomiting
- D. Frequency or urgency of micturition
Correct Answer: A
Rationale: The correct answer is A: Persistent vomiting or nausea. Hyperemesis gravidarum is a severe form of morning sickness characterized by persistent vomiting and nausea during pregnancy. This is the main clinical feature due to hormonal changes and increased sensitivity to certain odors. Choice B is incorrect as sight-related problems are not a typical feature of hyperemesis gravidarum. Choice C is incorrect as persistent diarrhea is not a defining feature of this condition. Choice D is incorrect as frequency or urgency of micturition is not a primary symptom of hyperemesis gravidarum.
Psychosis during puerperium mostly manifests as
- A. Mania
- B. Bipolar
- C. Depression
- D. Infection
Correct Answer: C
Rationale: The correct answer is C: Depression. Psychosis during puerperium commonly manifests as postpartum depression, characterized by feelings of extreme sadness, anxiety, and fatigue. This is due to hormonal changes and stress associated with childbirth. Mania (choice A) and bipolar disorder (choice B) are less common during this period. Infection (choice D) is not a typical manifestation of psychosis during puerperium. Overall, postpartum depression is the most prevalent and well-documented form of psychosis in the postpartum period.