A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT

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Question 1 of 5

A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT

Correct Answer: D

Rationale: Even after spinal anesthesia, premature infants are at risk for apnea and require monitoring, making outpatient discharge unsafe.

Question 2 of 5

The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is

Correct Answer: C

Rationale: Behavioral insomnia involves resistance to bedtime routines.

Question 3 of 5

The therapeutic effect of phototherapy depends on the following factors EXCEPT

Correct Answer: D

Rationale: The therapeutic effect of phototherapy is influenced by distance, skin color, and exposed skin area, but not by in vivo bilirubin metabolism. The other factors are important for phototherapy efficacy.

Question 4 of 5

Stimulant drugs are useful for hyperactivity and inattention associated with autism spectrum disorders (ASDs). Of the following, the BEST response of these drugs is seen with

Correct Answer: B

Rationale: Children with Asperger syndrome may benefit more from stimulants due to their relatively preserved cognitive abilities.

Question 5 of 5

In pediatric basic life support, the rescuer resuscitates the collapsed child

Correct Answer: C

Rationale: Early activation of the pediatric basic life support chain, including CPR and early defibrillation, significantly improves survival rates in cardiac arrest.

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