In congenital infection, the organism that is usually identified by specific fetal production of antibodies (IgM or increasing titer of IgG) is

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Pediatric Infectious Disease NCLEX Questions Questions

Question 1 of 5

In congenital infection, the organism that is usually identified by specific fetal production of antibodies (IgM or increasing titer of IgG) is

Correct Answer: B

Rationale: Rubella (B) is classically diagnosed by fetal IgM or rising IgG titers, reflecting immune response, more than CMV (A, PCR preferred), gonorrhea (C), parvovirus (D), or TB (E).

Question 2 of 5

Most infants with herpes simplex virus (HSV) infection are normal at birth, and symptoms of infection develop at

Correct Answer: B

Rationale: Neonatal HSV symptoms (e.g., vesicles, seizures) typically emerge at 11-15 days (B), reflecting incubation after perinatal acquisition, per standard texts.

Question 3 of 5

A 4-week-old infant presents with history of conjunctivitis and repetitive cough; on examination temperature 37 C°, respiratory rate 68/min, and rales on auscultation; chest radiograph show hyperinflation with diffuse infiltrates. Of the following, the treatment of choice is

Correct Answer: D

Rationale: Conjunctivitis, cough, and infiltrates at 4 weeks suggest Chlamydia pneumonia, treated with erythromycin (E), per AAP guidelines.

Question 4 of 5

Repetitive, rhythmic contractions of muscle groups of the limbs, face, or trunk are characteristic of

Correct Answer: C

Rationale: Focal clonic seizures (C) feature rhythmic muscle contractions in specific areas, typical in neonates, per seizure classification.

Question 5 of 5

In neonate, intraventricular hemorrhage (IVH) is unusual to occur after

Correct Answer: A

Rationale: IVH typically occurs within 5 days (A) in preterm infants, rare later due to germinal matrix fragility, per neonatal data.

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