Fetal hypoxia and asphyxia. Neonatal resuscitation.
! The most common cause of mortality in preterm infants
* Sepsis
* Pathological jaundice
* Haemorrhagic disease
* Congenital malformations
* Respiratory distress syndrome
! According to the clinical protocols of the Ministry of Health of the Republic of Kazakhstan (2010), synonymous with fetal hypoxia is the next state of the fetus
* critical
* threatening
* injury
* satisfactory
* decompensated
! According to the clinical protocols of the Ministry of Health of the Republic of Kazakhstan (2010), the inability of the newborn to start or maintain a normal spontaneous breathing after birth due to disorder of oxygenation during labor and childbirth is called
* apnea
* atrophy
* areflexia
* asphyxia
* hypoxia ( threatening condition)
! Fetal asphyxia – is a consequence of disturbances in oxygenation during labor and delivery, which manifest the inability of the newborn to start or maintain a normal
* spontaneous breathing
* arterial pressure
* urination
* palpitations
* pulse
! The birth of a child in asphyxia requires of immediate of the following measures
* Reanimation
* Phototherapy
* Intensive Care
* Symptomatic therapy
* Primary toilet of newborn
!. Clinical diagnosis of fetal asphyxia is exposed in the next period
* Delivery
* Resuscitation
* Preresuscitation
* Immediately after birth
* Postresuscitation
518. Classification of neonatal asphyxia
* Primary, secondary
* Average, moderate, severe
* Acute, subacute , chronic
* True , false, questionable
* Compensated , decompensated
! A newborn spontaneous breathing is irregular or absent, heart rate >100 bpm (beats per minute), relatively good muscle tone, skin cyanotic – this is typical for neonatal asphyxia
* heavy
* acute
* chronic
* compensated
* middle and moderate
! The purpose of neonatal resuscitation is recovery of adequate independent
* Pink skin and mucous
* Conditioned reflex and muscle tone
* Unconditioned reflex and photoreaction
* Breathing and cardiac activity
* Urination and defecation
! Neonatal resuscitation is conducted on the basis
* assessment - action- decision
* decision- assessment -action
* assessment - decision - action
* decision - action - assessment
* action - decision - assessment
! The main criterion for effectiveness of newborn’s intensive care is recovery of
* Muscle tone
* Reaction of pupils to light
* Diuresis and defecation
* Reflex excitability
* Respiratory and circulatory
! The sequence of steps in algorithm of neonatal resuscitation is designated as follows:
* 1, 2, 3, 4
* А, Б, В, Г
* А, B, C, D
* I, II, III, IV
* first, second, third, fourth
! The main objective of the initial steps of newborn resuscitation (Block А) – is to ensure
* correction of metabolic disorders
* airway, tactile stimulation
* artificial respiration under positive pressure
* sophisticated ventilation and chest compressions
* drug correction of hemodynamic and metabolic disorders
! The main objective of the newborn intensive care unit Block «В» – is to ensure
* correction of metabolic disorders
* airway, tactile stimulation
* artificial respiration under positive pressure
* sophisticated ventilation and chest compressions
* drug correction of hemodynamic and metabolic disorders
! The main objective of the newborn intensive care unit Block «С» – is to ensure
* correction of metabolic disorders
* airway, tactile stimulation
* artificial respiration under positive pressure
* sophisticated ventilation and chest compressions
* drug correction of hemodynamic and metabolic disorders
! The main objective of the newborn intensive care unit Block «D» – is to ensure
* correction of metabolic disorders
* airway, tactile stimulation
* artificial respiration under positive pressure
* sophisticated ventilation and chest compressions
* drug correction of hemodynamic and metabolic disorders
! When resuscitation of newborn chest compressions are produced in the area of
* Xiphisternum
* The upper third of the sternum
* The middle third of the sternum
* The lower third of the sternum
* Below the xiphoid process
Gynecology