Quiz 3: The routine care of normal infants

Please choose the one, most correct answer to each question or statement.

1. What is a normal infant?
   • An infant that weighs more than 2000 g.
   • An infant that has a 1 minute Apgar score above 5.
   • A infant born by normal vertex delivery.
   • An infant that appears well and is at low risk of problems.
2. What type of care is needed by a normal infant?
   • Primary care at a level 1 clinic
   • Special care if the infant is born in a level 2 hospital
   • The infant does not need medical or nursing care
   • Care in hospital
3. When should the umbilical cord be clamped?
   • About 2 minutes after birth so that the infant has a chance to start breathing
   • Immediately after birth
   • At 5 minutes after delivery
   • After the placenta has been delivered
4. When should the infant be given to the mother?
   • After the mother has had a chance to sleep
   • As soon as possible
   • When the placenta has been delivered
   • It does not matter when the infant is given to the mother
5. When should the infant be put to the breast?
   • When the infant is first given to the mother.
   • After the infant has received a clear feed.
   • When the mother has recovered from the delivery and has returned to the postnatal ward.
   • After the infant has been bathed.
6. Which infants should receive vitamin K after delivery?
   • Only preterm infants
   • Only infants with a low Apgar score
   • Only infants who have had a traumatic or difficult delivery
   • All infants
7. What should be placed in the eyes of infants after birth?
   • Nothing
   • Sterile water to remove meconium or vernix
   • Antibiotic ointment
   • Colostrum
8. Which infants should room in with their mothers?
   • Only infants whose mothers have a private ward
   • Only infants who weigh more than 2500 g
   • All infants
   • All normal infants
9. When should a normal infant receive the first bath?
   • Immediately after delivery
   • Before the infant leaves the labour ward
   • Only after 1 week
   • Before the infant is discharged home
10. What routine cord care is needed?
    • The cord should be painted daily with gentian violet.
    • Antibiotic powder should be put on the cord twice a day.
    • The cord should be cleaned with chlorhexidine solution or surgical spirits daily.
    • The cord should be washed with soap and water every day.
11. How much weight is lost after birth by a normal infant?
    • A normal infant should not lose any weight.
    • Up to 5% of the birth weight
    • Up to 10% of the birth weight
    • Up to 25% of the birth weight
12. Infants should regain their birth weight by:
    • Day 1
    • By day 3
    • By day 5
    • By 10 days
13. When should a normal infant be weighed?
    • At birth and then again on days 3, 5 and 7 if the infant is still in hospital
    • Twice a day until discharge
    • Before and after every feed
    • There is no need to weigh a normal infant.
14. Which infants should receive a ‘road-to-health’ booklet?
    • All infants
    • Only infants born in hospital
    • Only infants who have problems in the perinatal period
    • Only infants whose mothers cannot regularly attend the local clinic
15. What is the clinical significance of a white vaginal discharge in a newborn infant?
    • It indicates a vaginal infection with Trichomonas.
    • It should be treated with antibiotics.
    • It is a sign of congenital syphilis.
    • It is normal.
16. What is the importance of enlarged breasts at birth?
    • They are abnormal and indicate a hormonal imbalance.
    • They are normal in girls but abnormal in boys.
    • They are normal only if the breasts return normal by 1 week.
    • They are normal in girls and boys and may last for a few months.
17. A blue patch on the lower back is caused by:
    • Bruising at delivery
    • A Chinese father
    • The normal migration of pigment cells in the skin
    • Down syndrome
18. What is the correct management of an infant that is born with a tooth?
    • Pull the tooth out.
    • Leave the tooth and let it fall out by itself.
    • Remove the tooth if it is very loose and only attached by a thread of tissue.
    • The infant should be referred to a dentist.
19. What is the treatment of ‘tongue tie’ in a newborn infant?
    • No treatment is needed.
    • Treatment is needed if the infant feeds poorly.
    • The membrane under the tongue should be cut by the nursery staff.
    • The infant should be referred to a level 2 or 3 hospital.
20. Which infants can safely be discharged home from hospital or clinic?
    • All infants who are able to suck
    • Infants who have not been given Konakion
    • Healthy infants who are more than 6 hours old
    • Well infants who weigh more than 1500 g