Intensive Care all neonatal 3rd year Midwifery – 10th round -Feb 2026

A term newborn delivered vaginally from a primigravida mother develops visible jaundice involving the lower chest within the first hours after birth. The mother’s blood group is O positive and the newborn’s blood group is B positive. Which of the following maternal factors is NOT associated with the development of neonatal jaundice?

A premature newborn weighing 1000 g develops seizures, pallor, and bulging of the anterior fontanelle on the second day of life. Hemoglobin level is 8 g/dL. What is the most likely diagnosis?

A term newborn weighing 3 kg is delivered vaginally. Immediately after birth, the infant is hypotonic and has absent effective spontaneous respirations. The heart rate is 100 beats per minute. The mother received pethidine (meperidine) two hours prior to delivery. What is the most appropriate initial management?

A 3-day-old term newborn delivered at home is referred because of gastrointestinal bleeding. Physical examination is normal. What is the first-line treatment?

In a term newborn with jaundice appearing within the first 24 hours of life, which of the following is the most likely cause?

The finding of leukocoria on eye examination of a newborn raises suspicion for all of the following conditions EXCEPT:

A healthy full-term newborn is delivered from a healthy mother without any delivery complications. What is the first intervention to prevent neonatal hypothermia?

Which of the following is NOT a complication associated with birth at 28 weeks of gestation?

Prenatal ultrasonography in a pregnant woman reveals oligohydramnios. After delivery, evaluation of the newborn for which of the following conditions is most strongly indicated?

A 28-week gestational age newborn weighing 1000 g is admitted to the NICU with a diagnosis of respiratory distress syndrome and is receiving appropriate treatment. When is the most appropriate time to perform ophthalmologic screening for retinopathy of prematurity?

A newborn is born to a mother with COVID-19 infection. What is the recommended approach for diagnosing neonatal infection?

During routine physical examination of a normal newborn, which of the following findings requires further evaluation?

During physical examination of a newborn with abnormal skin coloration, which of the following findings requires further medical evaluation?

A 2-day-old female newborn is brought for evaluation because of white, milky vaginal discharge mixed with streaks of blood. Which of the following statements is correct?

A 2-day-old newborn of a diabetic mother develops severe jaundice and experiences seizures during exchange transfusion. The blood glucose level measured by glucometer is 107 mg/dL. Seizures do not resolve after administration of intravenous calcium gluconate. What is the most appropriate next step in management?

All of the following are manifestations of subtle neonatal seizures EXCEPT:

Phototherapy in newborns may lead to which of the following complications?

Which of the following is NOT a cause of physiologic anemia of infancy?

A newborn with a gestational age of 32 weeks is born and develops apnea of prematurity starting on the second day of life. For how long can these apnea episodes persist?

Which of the following statements regarding hemolysis due to ABO incompatibility between mother and newborn is correct?

In a healthy term newborn, the first passage of urine and meconium is expected to occur within which time period after birth, respectively?

A term male newborn is delivered by normal vaginal delivery. The umbilical cord is clamped immediately after birth. What is the most likely complication?

A newborn suspected of TORCH infection has microcephaly, microphthalmia, cataracts, hepatosplenomegaly, jaundice, glaucoma, chorioretinitis, and patent ductus arteriosus. Which congenital infection is most likely?

Which of the following newborns is at greatest risk for developing respiratory distress syndrome?

An 8-day-old newborn with a gestational age of 32 weeks develops necrotizing enterocolitis after initiation of enteral feeding. What is the most important risk factor for NEC?

Following a difficult vaginal delivery, a newborn develops a scalp swelling with the following characteristics: the swelling is located over the lateral aspect of the skull, extends across suture lines from the left parietal to the occipital region, the overlying scalp is ecchymotic, and the margins of the swelling are poorly defined. What is the most likely diagnosis?

Periventricular calcifications are characteristic of which congenital infection?

A newborn weighing 2300 g is delivered vaginally and experiences shoulder dystocia. The affected upper limb is held in internal rotation, and the grasp reflex is preserved on the involved side. What is the most likely diagnosis?

All of the following physical examination findings are used to assess gestational age at birth EXCEPT:

To prevent Rh sensitization in an Rh-negative mother carrying an Rh-positive fetus during the first pregnancy, which of the following is recommended?