You are called to the delivery of a boy at weeks' gestational age with thick meconium-stained fluid and type II decelerations The obstetrician rapidly delivers the infant and hands him to you for care The boy is hypotonic, cyanotic, apneic, and bradycardic The most appropriate step is to

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Question 1 of 5

You are called to the delivery of a boy at weeks' gestational age with thick meconium-stained fluid and type II decelerations The obstetrician rapidly delivers the infant and hands him to you for care The boy is hypotonic, cyanotic, apneic, and bradycardic The most appropriate step is to

Correct Answer: D

Rationale: Intubation and positive-pressure ventilation are essential for severely compromised infants who are apneic and bradycardic

Question 2 of 5

Which of the following would be the best play activity for a 6-month-old infant to provide tactile stimulation?

Correct Answer: A

Rationale: Splashing in the bath provides tactile stimulation for a 6-month-old infant as they can feel the water, enhancing their sensory experience.

Question 3 of 5

What is the best medication to control aggression and self-injurious behavior in a 6-year-old boy with autism?

Correct Answer: B

Rationale: Risperidone, an atypical antipsychotic, is effective in managing aggression and self-injurious behaviors in children with autism. Other medications target different symptoms or conditions.

Question 4 of 5

Jaundice, consisting of either indirect or direct bilirubin that is present at birth or appears within the 1st 24 hr of life may be due to all the following EXCEPT

Correct Answer: D

Rationale: Congenital infections typically cause jaundice after the first 24 hours of life. The other conditions can cause early-onset jaundice.

Question 5 of 5

After days of phototherapy, the bilirubin level of the patient in Question 5 declines below mg/dL One day off phototherapy, the level of bilirubin remains less than mg/dL The patient is discharged home and grows well while breast-feeding At month of age, he returns with significant pallor, tachycardia, and a new heart murmur The most likely problem at this time is

Correct Answer: B

Rationale: Ductal-dependent congenital heart disease may manifest after ductus arteriosus closure

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