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