Quiz 6: Feeding sick or high-risk infants

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

1. Which of the following is found in the cells of the body?
   • Intravascular fluid
   • Intercellular fluid
   • Intracellular fluid
   • Serum
2. The fluid volume needed by a term infant on day 1 is:
   • 25 ml/kg
   • 60 ml/kg
   • 100 ml/kg
   • 150 ml/kg
3. What volume of fluid is needed by most infants after day 4?
   • 60 ml/kg
   • 100 ml/kg
   • 150 ml/kg
   • 200 ml/kg
4. Infants need less fluid on the first few days of life because:
   • They weigh less.
   • They do not suck well.
   • Their stools consist of meconium.
   • Their kidneys only produce a little urine.
5. The fluid volume needed on day 1 for infants that weigh less than 1500 g at birth is:
   • 25 ml/kg
   • 60 ml/kg
   • 75 ml/kg
   • 100 ml/kg
6. Which infants should be given an extra 25 ml/kg fluid per day?
   • Infants under an overhead radiant heater
   • Infants in a closed incubator
   • Infants receiving phototherapy
   • Infants weighing more than 4000 g
7. The following can be used as resuscitation fluid because it is isotonic with blood (i.e. contains the same concentration of sodium):
   • Half-strength Darrow’s
   • 10% dextrose
   • Normal saline
   • Neonatalyte
8. Which of the following can be used as maintenance fluid?
   • Ringer’s lactate
   • Neonatalyte
   • Plasmalyte B
   • Half-normal saline
9. The best milk for preterm infants is:
   • A soya bean formula
   • Special preterm formula
   • Breast milk
   • Standard infant formula
10. A preterm infant born after a 30 week gestation should be able to suck and take its feed by mouth when it is:
    • 1 weeks old
    • 2 weeks old
    • 6 weeks old
    • 8 weeks old
11. An infant below 1500 g should be fed:
    • Every 2 hours
    • Every 3 hours
    • Every 4 hours
    • Every 8 hours
12. An infant between 1500 and 1800 g should be fed:
    • 12 times a day
    • 8 times a day
    • 6 times a day
    • On demand
13. Small milk feeds can usually be started in sick infants when:
    • They are 48 hours old.
    • They pass meconium.
    • They no longer need extra oxygen.
    • They are clinically improving.
14. Intravenous fluids should be given on day 1 to:
    • Infants weighing less than 1500 g
    • Infants weighing less than 2000 g
    • All preterm infants
    • All low birth weight infants
15. What is the danger of giving nasogastric feeds to a sick infant?
    • Hypoglycaemia
    • Vomiting
    • Loose stools
    • Pyrexia
16. Term infants that are underweight for gestational age or wasted should:
    • Not be fed for the first 6 hours.
    • Be given a milk feed within an hour of delivery.
    • Be given 10% dextrose feeds via a nasogastric tube.
    • Be given intravenous fluids.
17. What supplements should a preterm infant receive?
    • Ferro Drops 1 ml daily from day 7
    • Ferro Drops 0.6 ml each day starting when the infant begins to suck
    • Multivitamin drops 0.3 ml daily from day 5
    • Multivitamin drops 0.1 ml with each feed
18. What should you do if an infant has bile-stained (green) vomiting?
    • Wash out the stomach with 2% sodium bicarbonate.
    • Decrease the volume of the feeds.
    • Feed the infant more frequently.
    • Refer the infant to a level 2 or 3 hospital.
19. What is a common cause of vomiting in preterm infants?
    • Gastro-oesophageal reflux
    • Failure to pass meconium
    • Breast milk feeds
    • Feeds given every 2 hours
20. Vomiting in many infants can be prevented by:
    • Increasing the volume of the feeds
    • Nursing the infant on its back
    • Stopping the multivitamin drops
    • Raising the head of the mattress