Quiz 13: Trauma and bleeding

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

1. What is a caput succedaneum?
   • A fracture of the skull
   • Scalp oedema
   • A bleed into the brain
   • A bleed into the abdomen
2. What is a cephalhaematoma?
   • A bleed into the subaponeurotic space of the scalp
   • A bleed into the subdural space
   • A bleed under the periosteum of the parietal bone
   • A bleed into the brain
3. What is the management of a cephalhaematoma?
   • Aspiration (removing the blood)
   • Application of a compression bandage
   • Antibiotics
   • Reassurance of the parents
4. A subaponeurotic haemorrhage:
   • May cross the midline.
   • Never crosses the midline.
   • Does not cause pallor and shock.
   • Is common.
5. A traumatic forceps delivery may cause:
   • A periventricular haemorrhage
   • Haemorrhagic disease of the newborn
   • Brachial palsy
   • Subaponeurotic haemorrhage
6. A facial palsy:
   • Usually recovers spontaneously after a few days.
   • Usually only recovers after a few months.
   • Usually requires surgical decompression of the facial nerve.
   • Usually does not recover.
7. In an infant with a facial palsy:
   • The infant is able to close the eye tightly on the side of the palsy.
   • The mouth pulls to the side of the palsy.
   • The mouth pulls away from the side of the palsy.
   • The infant is unable to suck.
8. A brachial palsy is most commonly seen in:
   • Preterm infants born by vaginal delivery
   • Large infants with impacted shoulders
   • Infants born by elective Caesarean section
   • Infants delivered by vacuum extraction
9. What is the treatment of a brachial palsy?
   • Keep the arm above the head.
   • Passively move the arm a few times each day.
   • Strap the arm to the chest.
   • Treat pain with an analgesic (paracetamol).
10. Bruising of the face after delivery:
    • Is an important sign of brain haemorrhage.
    • Is an indication for urgent transferral to a hospital.
    • Is usually caused by haemorrhagic disease.
    • Is commonly caused by an umbilical cord wound tightly around the neck.
11. Thrombocytopaenia means:
    • Too few platelets in the blood
    • Too many platelets in the blood
    • A normal number but abnormal function of platelets in the blood
    • A decreased amount of clotting factors in the blood
12. A decreased number of platelets in the blood may be caused by:
    • Hypoglycaemia
    • Preterm delivery
    • Septicaemia
    • Jaundice
13. Antibodies can cross the placenta from the mother to the fetus and result in:
    • A low platelet count
    • An increased platelet count
    • A decreased level of clotting factors
    • An increased level of clotting factors
14. Which drug can cross the placenta and cause bleeding in the infant at birth by decreasing the clotting factors?
    • Paracetamol (Panado)
    • Heparin
    • Warfarin
    • Penicillin
15. Disseminated intravascular coagulo­pathy (DIC) causes bleeding due to:
    • A decreased production of clotting factors
    • An increased consumption (using up) of clotting factors
    • A decreased production of platelets
    • Leaking blood vessels
16. Haemorrhagic disease of the newborn is caused by lack of:
    • Vitamin A
    • Vitamin C
    • Vitamin E
    • Vitamin K
17. Konakion should be given at birth:
    • Only to infants at high risk of bleeding
    • Only to preterm infants
    • Only to infants born in hospital
    • To all infants
18. Konakion should be injected into the infant’s:
    • Buttock
    • Lateral thigh
    • Upper arm
    • Scalp
19. Haemorrhagic disease of the newborn usually presents with:
    • Blood in the stool and vomitus
    • Purpura
    • Jaundice
    • Cephalhaematoma
20. Bleeding in haemophilia is due to:
    • Decreased platelets
    • Lack of clotting factor 8
    • Fragile blood vessels
    • Lack of vitamin K