A term neonate is born to a mother with poorly controlled diabetes and weighs 4,500 grams. Which complication is the infant most at risk for at delivery?
A 5-day-old neonate is admitted with high fever (39.5°C/103.1°F), persistent poor feeding, irritability, and new-onset seizures. Which diagnostic step is indicated?
A 1-week-old preterm infant is seen for follow-up after discharge. What is an essential screening test before discharge in infants with birthweight less than 1,500 grams?
A preterm neonate treated with empiric antibiotics for early-onset sepsis remains critically ill. Labs show neutropenia, low platelets, and elevated D-dimers. Which complication should you consider?
A mother delivers twins at 36 weeks. Both infants are healthy. What type of twinning results from fertilization of two ova at the same ovulation cycle?
A neonate presents at 12 hours of life with severe hypoxemia, mottled skin, poor perfusion, and vomiting. The mother had fever and prolonged rupture of membranes. What two antimicrobials are most appropriate for initial empiric therapy?
A preterm neonate is noted to lack subcutaneous fat and appears unusually thin compared with term infants. Which risk is increased in this infant as a direct result?
A 30-week preterm neonate is being cared for with an incubator and humidified air in the first week of life. What is the main purpose of maintaining 60%-80% humidity at this stage?
A neonate with birth weight of 1,400 grams, born at 29 weeks, is approaching NICU discharge. Which criterion must be fulfilled for safe discharge planning?
A late preterm infant develops feeding difficulty, jaundice, and hypoglycemia after hospital discharge. Which single factor is most responsible for increased risk of rehospitalization in late preterm compared to term infants?
