ATI RN
NCLEX Questions Pediatric Infectious Diseases Questions
Question 1 of 5
A 40-day-old infant product of difficult vaginal delivery, presented with repeated vomiting, pallor, and recurrent seizures. On examination, occipitofrontal circumference was 41 cm. Lab study showed; Hb level, 7 gm/dl. You suspect intracranial hemorrhage. Of the following, the MOST likely site of hemorrhage is
Correct Answer: A
Rationale: Subdural hemorrhage (A) fits difficult delivery, late seizures, and anemia at 40 days, more than subarachnoid (B), periventricular (C), IVH (D), or intraparenchymal (E) in term infants.
Question 2 of 5
Unconjugated bilirubin binds to albumin on specific bilirubin binding sites; in a newborn each 1 g of albumin binds to
Correct Answer: C
Rationale: 1 g albumin binds ~8.5 mg bilirubin (C) in newborns, per binding capacity studies.
Question 3 of 5
The incidence of meconium-stained amniotic fluid in term and post-term deliveries is
Correct Answer: B
Rationale: Meconium-stained fluid occurs in ~15% (B) of term/post-term deliveries, per obstetric data.
Question 4 of 5
Early signs of kernicterus are noted after day 4 of life, the earliest clinical manifestations is
Correct Answer: B
Rationale: Lethargy (B) is the earliest kernicterus sign, appearing after day 4, per neurologic progression.
Question 5 of 5
Coagulation factors do not pass through the placenta to the fetus, and newborn infants have relatively low level of factor
Correct Answer: C
Rationale: Newborns have low vitamin K-dependent factors, especially VII (C), per neonatal hemostasis.