Recognition of Sick Newborn – Danger Signs MCQ Quiz | Neonatology

1. A 2-day-old newborn presents with a respiratory rate of 70 breaths/minute, intercostal retractions, and an audible grunt on expiration. Which of the following is the most immediate concern?

2. A mother reports that her 3-day-old infant has stopped feeding for the last 12 hours and is difficult to arouse. This is a significant danger sign indicative of:

3. Which of the following is considered a critical temperature danger sign in a neonate?

4. Bilious (green or dark green) vomiting in a newborn is a medical emergency because it strongly suggests:

5. Jaundice appearing within the first 24 hours of life is:

6. Central cyanosis in a newborn is best assessed by looking at the:

7. A newborn having a convulsion might present with all of the following signs EXCEPT:

8. A tense, bulging anterior fontanelle in a quiet, non-crying infant is a worrisome sign of:

9. A newborn with a fever (axillary temperature >37.5°C) should be managed by:

10. A significant danger sign related to the umbilicus is:

11. A newborn who is constantly irritable and cries inconsolably may be exhibiting a sign of:

12. More than 10 skin pustules or a single large boil (abscess) on a newborn’s skin is considered:

13. A term newborn has not passed meconium by 48 hours of age. This should raise suspicion for:

14. Sclerema, a condition characterized by hardening of the skin and subcutaneous tissue, is a grave sign associated with:

15. Apnea in a newborn is defined as a cessation of breathing for:

16. Which of these feeding behaviors is a danger sign in a 5-day-old newborn?

17. A newborn exhibits persistent, severe abdominal distension with visible bowel loops. The most likely cause is:

18. A high-pitched, shrill cry in a newborn is often associated with:

19. Which of the following is NOT a sign of respiratory distress in a newborn?

20. Pathological jaundice is suggested by jaundice that:

21. A “floppy” infant with decreased muscle tone (hypotonia) is a non-specific but serious sign that could indicate:

22. What is the significance of poor peripheral perfusion (capillary refill time > 3 seconds) in a newborn?

23. A newborn has fewer than 6 wet diapers in a 24-hour period after the first few days of life. This is a danger sign for:

24. What does “grunting” in a newborn signify?

25. Which of the following IMNCI (Integrated Management of Neonatal and Childhood Illness) danger signs requires immediate referral?