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System: Part X: The Fetus and the Neonatal Infant

A newborn presents with cephalohematoma and decreased movement of the left arm after a difficult shoulder dystocia. What is the most likely associated bone injury?

A 29-week infant in the NICU is receiving human milk. The team considers what is needed to achieve optimal growth. Which of the following is recommended for this infant’s feeding plan?

A preterm neonate, born at 31 weeks gestational age, recovering from respiratory distress syndrome is requiring < 30% oxygen at 36 weeks postmenstrual age. What is the correct classification of bronchopulmonary dysplasia severity?

A preterm infant requires supplemental oxygen. Why is careful titration of oxygen to maintain saturation within 90-95% important in the extremely low birth weight group?

A neonate presents with a scaphoid abdomen, respiratory distress, and bowel sounds in the chest. What is the next best initial intervention?

A 35-week preterm infant with late-onset sepsis is ready for discharge. Which is a recommended immunoprophylaxis in eligible infants during the winter season before discharge?

A 2-day-old preterm infant weighing 900 g, treated for respiratory distress syndrome and on assisted ventilation, suddenly develops blood in the endotracheal tube, profound cyanosis, poor lung compliance, and hypotension. Which predisposing condition is most likely in this patient?

A term infant delivered by cesarean section, with no labor, is tachypneic within 1 hour of birth. Which finding is typical of transient tachypnea of the newborn?

A term infant fails to pass meconium by 36 hours and has abdominal distention. What is the recommended first imaging step?

A term neonate presents with scaphoid abdomen, eviscerated intestines beside the umbilical cord, and is born to a young mother. What is the most likely diagnosis?

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