Management of LBW/Preterm Neonates MCQ Quiz | Neonatology Skills

1. What is the primary goal of Kangaroo Mother Care (KMC) in a stable LBW neonate?

2. A preterm neonate born at 30 weeks gestation requires fluid management on day 1 of life. What is the recommended starting total fluid intake (TFI)?

3. “Surfactant replacement therapy” is the cornerstone in the management of which condition in preterm neonates?

4. Which of the following is the most effective method for preventing hypothermia in a preterm neonate immediately after birth?

5. A preterm infant on enteral feeds develops abdominal distension, bloody stools, and feeding intolerance. These are classical signs of:

6. What is “Trophic feeding” or “Minimal enteral nutrition” in VLBW infants primarily intended for?

7. Prophylactic caffeine citrate is commonly used in preterm infants to treat and prevent:

8. A 1.2 kg preterm neonate requires nutritional support. Which of the following is the preferred first choice for feeding?

9. Screening for Retinopathy of Prematurity (ROP) is recommended for infants with a birth weight of:

10. What is the definition of a Very Low Birth Weight (VLBW) infant?

11. To prevent intraventricular hemorrhage (IVH) in preterm infants, which antenatal intervention is most crucial?

12. A preterm infant is found to have a temperature of 36.2°C. According to the WHO classification, this is categorized as:

13. What is the primary risk associated with unrestricted oxygen supplementation in preterm neonates?

14. The “warm chain” is a set of interlinked procedures to minimize heat loss in a newborn. Which of the following is NOT a component of the warm chain?

15. What is the ideal ambient temperature for a naked 1.3 kg neonate in an incubator?

16. Which vitamin supplementation is essential for preterm infants to prevent hemorrhagic disease of the newborn?

17. The ‘danger signs’ in a LBW neonate that warrant immediate medical attention include all of the following EXCEPT:

18. What is the primary purpose of fortifying human milk for preterm infants?

19. Which of the following is a long-term complication associated with prematurity, often linked to periventricular leukomalacia (PVL)?

20. In managing a preterm neonate with a hemodynamically significant Patent Ductus Arteriosus (PDA), which medication is commonly used for pharmacological closure?

21. A 32-week preterm infant has a documented apneic episode lasting 25 seconds accompanied by a heart rate drop to 80 bpm. What is the most appropriate initial step in management?

22. When advancing enteral feeds for a VLBW infant, what is a safe and common daily increment?

23. Phototherapy is a common treatment for neonatal jaundice. Its primary mechanism of action is:

24. A key component of “developmental care” in the NICU for preterm infants is:

25. Before a LBW infant can be discharged from the hospital, which of the following criteria must be met?