MCQ in Neonatology

• Dr Varsha Atul Shah

Q1 Recognised benefits of breastfeeding include all of

the following EXCEPT

(1) Diminished risk of feed allergy in later life.

(2) Decreased risk of necrotizing enterocolitis.

(3) Lesser risk of viral gastroenteritis during infancy.

(4) Lesser risk of haemorrhagic disease of the

newborn.

Q2 You are counseling a mother who just delivered a

normal, fullterm, healthy baby. For some personal

reasons, she has opted for formula feeding. In

counseling her regarding the nutritional requirement

of her baby, you most likely suggest an intake of

about

(1) 40 – 70 kcal / kg / day.

(2) 70 – 90 kcal / kg / day.

(3) 90 – 120 kcal / kg / day.

(4) 120 – 150 kcal / kg / day.

Q3 To meet the target caloric requirement, if the

parents are using regular term baby formula, they

should feed the baby about

(1) 70 – 100 ml / kg / day.

(2) 100 – 130 ml / kg / day.

(3) 140 – 180 ml / kg / day.

(4) 180 – 220 ml / kg /day.

Q4 Soy protein-based formula is NOT indicated in

which of the following conditions?

(1) Hereditary lactase deficiency

(2) Galactosemia

(3) Child whose parents what to avoid any

animal product in diet.

(4) Infant whose birth weight is < 1800 gm.

Q5 Human breast milk is the reference point against

which all the other formulae are developed.

Which of the following statements is TRUE about

human breast milk in comparison to cow’s milk?

(1) Protein content in human breast milk is higher than cow’s milk.

(2) Carbohydrate content in human milk is higher than cow’s milk.

(3) The predominant protein in human milk is casein protein.

(4) Total mineral content in breast milk is higher than cow’s milk.

Q6 At birth, a newborn infant is noted to have the

following findings: heart rate – 70/min, respiratory

effort – poor and irregular, limp, no reflex

irritability, blue all over the body. The Apgar score

of the baby at this point is

(1) 0

(2) 1

(3) 2

(4) 3

(1) 0

(2) 1

(3) 2

(4) 3

Q7 Based on current understanding, which of the

following statements regarding Apgar scoring is

CORRECT?

(1) Majority of the babies with low Apgar scores will develop cerebral palsy in future.

(2) Majority of the babies with cerebral palsy had poor Apgar score.

(3) First minute Apgar score is a better predictor of perinatal hypoxia than scores at ten minutes.

(4) None of the above.

Q8 Fetuses make breathing movement in-utero.

(1) True

(2) False

Q9 In the fetus, the pressure in the right atrium

and ventricle is higher than left atrium and

ventricle.

(1) True

(2) False

Q10 A newborn baby’s blood glucose level

rises immediately after birth.

(1) True

(2) False

Q11 In term healthy infants, the core temperature

will fall after birth by about 3 degrees Celsius.

(1) True

(2) False

Q12 Sodium bicarbonate is a commonly used

medication during newborn resuscitation.

(1) True

(2) False

Q13 Energy stores in the fetus builds up mostly

during the second trimester of the pregnancy.

(1) True

(2) False

Q14 The ability of the newborn to concentrate and

excrete solutes is less compared to toddlers.

(1) True

(2) False

Q15 Periventricular leucomalacia is a common

finding in hypoxic-ischaemic encephalopathy

in term infant.

(1) True

(2) False

Q16 In hypoxic-ischaemic encephalopathy, as the

cerebal edema develops, the brain function is

affected in descending order.

(1) True

(2) False

Q17 The quantity of iron in the breast milk is

less compared to infant formula.

(1) True

(2) False

Q18 The breast milk is inadequate to meet the

nutritional requirement of an infant born at

36 weeks of gestational age.

(1) True

(2) False

Q19 Decreasing lanugo hair over the back is a

sign of increasing gestational age.

(1) True

(2) False

Q20 Milky white or blood-streaked vaginal

discharge is the result of maternal

hormone withdrawal.

(1) True

(2) False