Department of Pediatrics

JI Shifting Exam
Name: ________________________
Date: _____________

Score: _____________

1. Classify a newly born according to age of gestation:

a. Term: ________37 6/7________ weeks
b. Preterm: ______<37___________ weeks
c. Post term: ______>42___________weeks
2. Enumerate the 4 essential steps of Newborn care.
a. _____________________________________________________
b. _____________________________________________________
c. _____________________________________________________
d. _____________________________________________________
3. A TERM infant born is delivered via LSCS due to secondary arrest of cervical dilatation. The APGAR score is
good however alar flaring, tachypnea were noted, what is your impression? ____________neonatl
pneumonia_________________________.
Give 2 differential diagnoses:
a. ________respiratory distress syndrome_________________________________.
b. _____________neonatal sepsis____________________________.
If the same manifestation is seen in a PRETERM, what is your impression: ______________respiratory distress
secondary to prematurity_______________________.
Give 2 differential diagnoses:
a. ____________neonatal pneumonia_____________________________.
b. _______________neonatall sepsis__________________________.
4. What is the chart used to assess hyperbilirubinemia? ____________________________
th
5. A newly born with jaundice on the 36 hour of life without risk factor. Total bilirubin is 15.3 mg/dl and direct
Bilirubin is 0.74 mg/dl. Plot the following results using the graph.

Interpret: __________________________________________________
6. It is the long term sequelae of bilrubin neural toxicity. ______________kernicterus of the
newborn___________________.
7. A newborn was delivered by NSVD. At birth, there was no cry heard. Body and extremities were blue. There was
no response to stimulation. Cardiac rate then was 60/min. Extremities were slightly flexed. Give the APGAR
score: ________2___________.
After 5 minutes, the patient had a weak cry. Body was pink, extremities were pink. Response to nasal canula was
a grimace. Extremities showed slight flexion. Cardiac rate was 70/min. What is the APGAR score:
_______6___________.
8. In Rh Incompatibility, Mother produces Ab transfer through the placenta to the fetal circulation. The maternal Rh
of the mother is always Rh(___), while the father is always Rh(+).
Prophylactic Rhogam (Rh Ig) is given at _____________________________.