Q1 Recognised benefits of breastfeeding include all of the following EXCEPT(1) Diminished risk of feed allergy in later life.• Decreased risk of necrotizing enterocolitis.• Lesser risk of viral gastroenteritis during infancy.• Lesser risk of haemorrhagic disease of the newborn.
Q2 You are counseling a mother who just delivered a normal, fullterm, healthy baby. For some personal reasons, she has opted for formula feeding. In counseling her regarding the nutritional requirement of her baby, you most likely suggest an intake of about (1) 40 – 70 kcal / kg / day. • 70 – 90 kcal / kg / day. • 90 – 120 kcal / kg / day. • 120 – 150 kcal / kg / day.
Q3 To meet the target caloric requirement, if the parents are using regular term baby formula, they should feed the baby about (1) 70 – 100 ml / kg / day. • 100 – 130 ml / kg / day. • 140 – 180 ml / kg / day. • 180 – 220 ml / kg /day.
Q4 Soy protein-based formula is NOT indicated in which of the following conditions? (1) Hereditary lactase deficiency (2) Galactosemia (3) Child whose parents what to avoid any animal product in diet. (4) Infant whose birth weight is < 1800 gm.
Q5 Human breast milk is the reference point against which all the other formulae are developed. Which of the following statements is TRUE about human breast milk in comparison to cow’s milk?(1) Protein content in human breast milk is higher than cow’s milk.(3) Carbohydrate content in human milk is higher than cow’s milk.(5) The predominant protein in human milk is casein protein.(6) Total mineral content in breast milk is higher than cow’s milk.
Q6 At birth, a newborn infant is noted to have the following findings: heart rate – 70/min, respiratory effort – poor and irregular, limp, no reflex irritability, blue all over the body. The Apgar score of the baby at this point is • 0 • 1 • 2 • 3
Q7 Based on current understanding, which of the following statements regarding Apgar scoring is CORRECT? (1) Majority of the babies with low Apgar scores will develop cerebral palsy in future. (2) Majority of the babies with cerebral palsy had poor Apgar score. (3) First minute Apgar score is a better predictor of perinatal hypoxia than scores at ten minutes. (4) None of the above.
Q8 Fetuses make breathing movement in-utero. (1) True • False
Q9 In the fetus, the pressure in the right atrium and ventricle is higher than left atrium and ventricle. (1) True • False
Q10 A newborn baby’s blood glucose level rises immediately after birth. (1) True • False
Q11 In term healthy infants, the core temperature will fall after birth by about 3 degrees Celsius. (1) True • False
Q12 Sodium bicarbonate is a commonly used medication during newborn resuscitation. (1) True • False
Q13 Energy stores in the fetus builds up mostly during the second trimester of the pregnancy. (1) True • False
Q14 The ability of the newborn to concentrate and excrete solutes is less compared to toddlers. (1) True • False
Q15 Periventricular leucomalacia is a common finding in hypoxic-ischaemic encephalopathy in term infant. (1) True • False
Q16 In hypoxic-ischaemic encephalopathy, as the cerebal edema develops, the brain function is affected in descending order. (1) True • False
Q17 The quantity of iron in the breast milk is less compared to infant formula. (1) True • False
Q18 The breast milk is inadequate to meet the nutritional requirement of an infant born at 36 weeks of gestational age. (1) True • False
Q19 Decreasing lanugo hair over the back is a sign of increasing gestational age. (1) True • False
Q20 Milky white or blood-streaked vaginal discharge is the result of maternal hormone withdrawal. (1) True • False
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