ATI RN
Pediatric Infectious Diseases Questions
Question 1 of 5
In multiple gestations, the birth order of twins affects morbidity by increasing the risk of the second-born twin for all the following EXCEPT
Correct Answer: A
Rationale: Second-born twins face higher risks of trauma (B), asphyxia (C), breech (D), and RDS (E) due to delivery complications. Anemia (A) isn’t increased by birth order unless twin-to-twin transfusion occurs.
Question 2 of 5
A 2-hour-old newborn admitted to neonatal care unit with respiratory distress, heart sounds heard mainly on the right side, and scaphoid abdomen; Oâ‚‚ saturation at room air 68%; chest radiograph was orderd. Of the following, the BEST way of Oâ‚‚ administration is by
Correct Answer: D
Rationale: Dextrocardia and scaphoid abdomen suggest congenital diaphragmatic hernia (CDH), requiring endotracheal intubation (E) for ventilation support due to severe distress (SpOâ‚‚ 68%), beyond CPAP (A) or simpler methods (B, C, D).
Question 3 of 5
The teratogenic effect of vitamin D is
Correct Answer: D
Rationale: Excess vitamin D teratogenicity causes supravalvular aortic stenosis (E), as in Williams syndrome, not nails (A), teeth (B), skin (C), or facies (D).
Question 4 of 5
The MOST common characteristic abnormality associated with congenital rubella is
Correct Answer: D
Rationale: Cataracts (E) are the most common feature of congenital rubella syndrome, part of the classic triad (cataracts, heart defects, deafness), per neonatal literature.
Question 5 of 5
All the following are features of congenital CMV infection EXCEPT
Correct Answer: D
Rationale: CMV features include deafness (A), microcephaly (B), chorioretinitis (C), and rash (D). Diffuse cortical calcifications (E) are more typical of toxoplasmosis, not CMV’s periventricular pattern.