ESSENTIAL INTRAPARTUM NEWBORN CARE (EINC) ROUTINE NEWBORN CARE
1. On the average, how long the umbilical pulsation 1. When is the best or ideal time to do the Newborn
disappears that cutting is done? screen?
a. 3 to 5 minutes a. At Birth
b. 30 to 60 seconds – Immediate Drying b. 24 hours after birth - earliest
c. 1 to 3 minutes c. 48 hours after birth - ideal
d. 5 to 10 minutes d. 72 hours after birth
2. What do you call the transfer of body heat of NB to a 2. Which is prevented in Vitamin K prophylaxis?
cooler object directly in contact with NB? a. Pathologic disease
a. Convection - Loss of NB body heat to a cooler b. Hemorrhagic disease – Given IM; Vit. K related
air surrounding the NB clotting factors II, V, IX, X
b. Radiation - Loss of NB body heat to a cooler c. Kernicterus
solid object not directly in contact to d. Hemolytic disease
the NB
c. Evaporation - converting the liquid into vapor 3. What Executive Order number is the Milk Code?
d. Conduction a. 51
b. 10028 - Expanded Breastfeeding Promotion
3. What is the APGAR score if the NB upon delivery is body Act
and extremities are pink, heart rate: 105/min, grimace, c. 7006
some flexion on lower extremities, regular breathing d. 20025
pattern?
a. 5 4. What is the best initial area to get the temperature in the
b. 8 – 2 + 2 + 1 + 1 + 2 NB?
c. 6 a. Axilla
d. 7 b. Mouth
c. Rectal
4. What Republic Act order that initially requires early d. Ear
rooming in of the NB?
a. 7006 – Typo, supposed to 7600 (closest) 5. Which of the following would have a hematologic
b. 20025 problem?
c. 51 – Milk Code a. Hypothyroidism - Metabolic
d. 10028 – Expanded Breastfeeding Promotion b. Phenylketonuria - Metabolic
Act c. G6PD
d. Galastossemia - Metabolic
5. This is used to assess respiratory, neurologic and
cardiovascular status of the NB upon delivery is:
a. Ballard
b. APGAR score
c. Vital Signs
d. Glassgow
CATON | PEDIATRICS
, APGAR SCORE/BALLAD SCORE
1. What is the best time that Ballard’s score most
acceptable/reliable?
a. 12 hours
b. 6 hours
c. At birth
d. 24 hours
2. Which mostly describe the following feature SGA
prominent head, physically mature looking?
a. LGA
b. SGA
c. IUGR
d. AGA
3. Seen in LGA with diabetic mothers
a. Hypoglycemia
b. Polycythemia
c. Hypothermia
d. Dysmorphology
4. Which of the physical assessment in the Ballard’s score
is likely to estimate AOG?
a. Lanugo
b. Plantar creases
c. Ear recoil
d. Breast
5. One of the following DOES NOT belong to the physical
maturity rating of the newborn:
a. Ear
b. Posture
c. Plantar surface
d. Genitalia
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, PEDIATRICS QUIZ RECALLS – SAN PEDRO
PEDIATRIC HISTORY AND PHYSICAL EXAMINATION – 9/10
6. The following definitions of dysmorphic features of the
1. This part of Pediatric History Taking is particularly hands are true, EXCEPT:
important in the first 2 years of life and when dealing with a. Oligodactyly is presence of fewer than five
neurologic and developmental problems fingers on a hand.
a. Feeding History b. Preaxial polydactyly refers to an extra finger
b. Past Illnesses present on the lateral side of the hand. – Correct:
c. Perinatal History medial side of hand
d. Growth and Development c. Syndactyly refers to incomplete separation of
fingers
2. Pediatric history taking differs significantly from a d. Clinodactyly is a medial or lateral curving of the
standard medical history because of the following, EXCEPT: fingers.
a. Usually given by someone other than patient,
hence, signs and symptoms influenced by other 7. The following description of retractions are true, EXCEPT
person’s perspective a. Substernal is retraction of the sternum
b. Establish rapport only with the parent(s) or towards the spine.
relatives and ignore the child. B Subcostal is retraction of the abdomen just
c. There are extra topics that need to be covered, below the rib cage.
such as perinatal, nutritional, developmental, and c. Suprasternal is retraction in the chest just above
immunization histories. the breastbone.
d. The interview session is likely to be d. Supraclavicular is retraction in the tissues just
compromised when the child is ill, and the parents above the collarbone.
are extremely distressed.
8. A 1 yr-old boy was brought to the ER because of 1 day
3. Since 2018, infants, children and adolescents in the history of 5x, watery-based, rotten egg smell. Yellowish
Philippines undergo routine immunization against how stools, about cupful per bout associated with 2 episodes of
many diseases? vomiting of previously ingested food. Upon weighing,
a. 15 patient is 9.2 kg although the mother claims that the
b. 17 – CDC website patient weighed 10 kg just days ago. On physical
c. 16 examination, patient is irritable and tachycardic, with
d. 18 sunken eyes, dry mucous membranes, cool and pale
extremities with CRT at 2-3 sec. According to the mother,
4. The following statements are TRUE with regards to doing last urine output which was scanty and concentrated, was
a good pediatric physical examination, EXCEPT: 7 hours ago. The state of hydration of the patient is:
a. Pay attention to details a. Moderate dehydration
b. ‘Head to foot and back, but forget not the b. Some dehydration
ear, throat and urine” is worthwhile to remember c. Severe dehydration
c. Better to proceed first from most distressing or d. No dehydration
invasive examination to least distressing or
invasive procedure with non-painful area last 9. Fever that peaks twice in 24 hours and classically
d. Be flexible, individualize, according to urgency of associated with inflammatory arthritis is called:
situation, age and cooperativeness, and suspected a. Hectic fever
system involvement. b. Intermittent fever
c. Double quotidian fever
5. A child 5 years of age, the computed ideal body weight d. Biphasic fever
is:
a. 15kg 10. Routine blood pressure measurement in children starts
b. 22kg at this age unless with risk factors
c. 20kg a. 1 year old
d. 18kg b. 3 years old
c. 4 years old
d. 6 months
CATON | PEDIATRICS