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Test 6: Feeding sick or high-risk infants

  1. Which of the following is found in the cells of the body?
    • Intravascular fluid
    • Intercellular fluid
    • Intracellular fluid
    • Serum
  2. The fluid volume needed by a term infant on day 1 is:
    • 25 ml/kg
    • 60 ml/kg
    • 100 ml/kg
    • 150 ml/kg
  3. What volume of fluid is needed by most infants after day 4?
    • 60 ml/kg
    • 100 ml/kg
    • 150 ml/kg
    • 200 ml/kg
  4. Infants need less fluid on the first few days of life because:
    • They weigh less.
    • They do not suck well.
    • Their stools consist of meconium.
    • Their kidneys only produce a little urine.
  5. The fluid volume needed on day 1 for infants that weigh less than 1500 g at birth?is:
    • 25 ml/kg
    • 60 ml/kg
    • 75 ml/kg
    • 100 ml/kg
  6. Which infants should be given an extra 25?ml/kg fluid per day?
    • Infants under an overhead radiant heater
    • Infants in a closed incubator
    • Infants receiving phototherapy
    • Infants weighing more than 4000 g
  7. The following can be used as resuscitation fluid because it is isotonic with blood (i.e. contains the same concentration of sodium):
    • Half-strength Darrow’s
    • 10% dextrose
    • Normal saline
    • Neonatalyte
  8. Which of the following can be used as maintenance fluid?
    • Ringer’s lactate
    • Neonatalyte
    • Plasmalyte B
    • Half-normal saline
  9. The best milk for preterm infants is:
    • A soya bean formula
    • Special preterm formula
    • Breast milk
    • Standard infant formula
  10. A preterm infant born after a 30 week gestation should be able to suck and take its feed by mouth when it is:
    • 1 weeks old
    • 2 weeks old
    • 6 weeks old
    • 8 weeks old
  11. An infant below 1500 g should be fed:
    • Every 2 hours
    • Every 3 hours
    • Every 4 hours
    • Every 8 hours
  12. An infant between 1500 and 1800 g should be fed:
    • 12 times a day
    • 8 times a day
    • 6 times a day
    • On demand
  13. Small milk feeds can usually be started in sick infants when:
    • They are 48 hours old.
    • They pass meconium.
    • They no longer need extra oxygen.
    • They are clinically improving.
  14. Intravenous fluids should be given on day 1 to:
    • Infants weighing less than 1500 g
    • Infants weighing less than 2000 g
    • All preterm infants
    • All low birth weight infants
  15. What is the danger of giving nasogastric feeds to a sick infant?
    • Hypoglycaemia
    • Vomiting
    • Loose stools
    • Pyrexia
  16. Term infants that are underweight for gestational age or wasted should:
    • Not be fed for the first 6 hours.
    • Be given a milk feed within an hour of delivery.
    • Be given 10% dextrose feeds via a nasogastric tube.
    • Be given intravenous fluids.
  17. What supplements should a preterm infant receive?
    • Ferro Drops 1 ml daily from day 7
    • Ferro Drops 0.6 ml each day starting when the infant begins to suck
    • Multivitamin drops 0.3 ml daily from day 5
    • Multivitamin drops 0.1 ml with each feed
  18. What should you do if an infant has bile-stained (green) vomiting?
    • Wash out the stomach with 2% sodium bicarbonate.
    • Decrease the volume of the feeds.
    • Feed the infant more frequently.
    • Refer the infant to a level 2 or 3 hospital.
  19. What is a common cause of vomiting in preterm infants?
    • Gastro-oesophageal reflux
    • Failure to pass meconium
    • Breast milk feeds
    • Feeds given every 2 hours
  20. Vomiting in many infants can be prevented by:
    • Increasing the volume of the feeds
    • Nursing the infant on its back
    • Stopping the multivitamin drops
    • Raising the head of the mattress