Cert Neonatology(SA) Paed Practice Questions - Sub-specialty Certificate in Neonatology of the College of Paediatricians of South Africa Exam - Cert Neonatology(SA) Paed Practice Questions - Sub-specialty Certificate in Neonatology of the College of Paediatricians of South Africa Exam

Question 1

A term infant is born via emergency caesarean section for fetal distress. At birth, the baby is limp, apneic, and cyanotic. According to the NRP 8th Edition guidelines, what is the correct initial management sequence?

Initiate chest compressions at a 3:1 ratio with 100% supplemental oxygen Immediate endotracheal intubation and administration of surfactant Provide warmth, position airway, suction secretions if obstructed, dry, and stimulate Administer IV adrenaline 0.02 mg/kg via umbilical venous catheter

Correct Answer:

Provide warmth, position airway, suction secretions if obstructed, dry, and stimulate

Question 2

A 29-week preterm infant requires positive pressure ventilation (PPV) in the delivery room due to persistent apnea. What is the recommended initial fraction of inspired oxygen (FiO2) for initiating PPV in this infant?

21% to 30% 50% to 60% 100% 80% to 100%

Correct Answer:

21% to 30%

Question 3

A 28-week preterm infant develops grunting, nasal flaring, tachypnea, and intercostal retractions 30 minutes after birth. An anteroposterior chest radiograph displays diffuse reticulonodular infiltrates with prominent air bronchograms and low lung volumes. What is the primary underlying pathophysiology?

Developmental deficiency of pulmonary surfactant and structural alveolar immaturity Bacterial pneumonia secondary to Group B Streptococcus intra-amniotic infection Delayed clearance of fetal lung fluid secondary to caesarean delivery Meconium aspiration causing small airway obstruction and chemical pneumonitis

Correct Answer:

Developmental deficiency of pulmonary surfactant and structural alveolar immaturity

Question 4

What is the recommended initial continuous positive airway pressure (CPAP) setting for a spontaneously breathing 28-week neonate with Respiratory Distress Syndrome (RDS) immediately after birth?

5 to 6 cm H2O 9 to 10 cm H2O 12 to 14 cm H2O 2 to 3 cm H2O

Correct Answer:

5 to 6 cm H2O

Question 5

According to South African neonatal screening guidelines, which criteria mandate Retinopathy of Prematurity (ROP) screening by an ophthalmologist?

Birth weight < 1500 g or gestational age < 32 weeks Birth weight < 1000 g or gestational age < 28 weeks Birth weight < 2500 g or gestational age < 37 weeks Only infants requiring mechanical ventilation for > 14 days regardless of weight

Correct Answer:

Birth weight < 1500 g or gestational age < 32 weeks

Question 1

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Prepare with the Cert Neonatology(SA) Paed Practice Questions - Sub-specialty Certificate in Neonatology of the College of Paediatricians of South Africa Exam practice quiz. This question bank includes 100 questions covering infant, week, neonate, neonatal, and ventilation. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Cert Neonatology(SA) Paed Practice Questions - Sub-specialty Certificate in Neonatology of the College of Paediatricians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on infant, week, neonate, neonatal, and ventilation. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Cert Neonatology(SA) Paed Practice Questions - Sub-specialty Certificate in Neonatology of the College of Paediatricians of South Africa Exam

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