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Neonatal Vomiting: Understanding and Managing Spitting Up

Description: Neonatal Vomiting: Understanding and Managing Spitting Up
Number of Questions: 15
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Tags: neonatal health vomiting spitting up infant care
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What is the most common cause of vomiting in neonates?

  1. Overfeeding

  2. Gastroesophageal reflux

  3. Intestinal obstruction

  4. Pyloric stenosis


Correct Option: B
Explanation:

Gastroesophageal reflux, or the backflow of stomach contents into the esophagus, is the most common cause of vomiting in neonates, accounting for up to 50% of cases.

What is the difference between vomiting and spitting up?

  1. Vomiting is forceful, while spitting up is gentle.

  2. Vomiting occurs more frequently than spitting up.

  3. Vomiting is associated with abdominal pain, while spitting up is not.

  4. All of the above.


Correct Option: D
Explanation:

Vomiting is forceful, occurs more frequently, and is associated with abdominal pain, while spitting up is gentle, occurs less frequently, and is not associated with abdominal pain.

What is the most effective way to manage spitting up in neonates?

  1. Thickening feedings

  2. Changing the feeding position

  3. Burping frequently

  4. All of the above


Correct Option: D
Explanation:

Thickening feedings, changing the feeding position, and burping frequently are all effective ways to manage spitting up in neonates.

When should you be concerned about vomiting in a neonate?

  1. If it occurs more than once a day

  2. If it is forceful or projectile

  3. If it is accompanied by abdominal pain

  4. All of the above


Correct Option: D
Explanation:

Vomiting in a neonate should be a concern if it occurs more than once a day, is forceful or projectile, or is accompanied by abdominal pain.

What is the most common cause of projectile vomiting in neonates?

  1. Pyloric stenosis

  2. Intestinal obstruction

  3. Gastroesophageal reflux

  4. Overfeeding


Correct Option: A
Explanation:

Pyloric stenosis, a narrowing of the pyloric valve at the outlet of the stomach, is the most common cause of projectile vomiting in neonates.

What is the treatment for pyloric stenosis?

  1. Surgery

  2. Medication

  3. Dietary changes

  4. Observation


Correct Option: A
Explanation:

Surgery is the only effective treatment for pyloric stenosis.

What are the signs and symptoms of intestinal obstruction in neonates?

  1. Vomiting

  2. Abdominal pain

  3. Constipation

  4. All of the above


Correct Option: D
Explanation:

Vomiting, abdominal pain, and constipation are all signs and symptoms of intestinal obstruction in neonates.

What is the most common cause of intestinal obstruction in neonates?

  1. Meconium ileus

  2. Hirschsprung's disease

  3. Intussusception

  4. All of the above


Correct Option: A
Explanation:

Meconium ileus, a blockage of the ileum by thick, sticky meconium, is the most common cause of intestinal obstruction in neonates.

What is the treatment for meconium ileus?

  1. Surgery

  2. Medication

  3. Enemas

  4. All of the above


Correct Option: D
Explanation:

Surgery, medication, and enemas may all be used to treat meconium ileus.

What is the most common cause of vomiting in neonates with Hirschsprung's disease?

  1. Gastroesophageal reflux

  2. Intestinal obstruction

  3. Overfeeding

  4. All of the above


Correct Option: B
Explanation:

Intestinal obstruction is the most common cause of vomiting in neonates with Hirschsprung's disease, a condition in which the nerves that control the movement of stool in the colon are missing.

What is the treatment for Hirschsprung's disease?

  1. Surgery

  2. Medication

  3. Dietary changes

  4. All of the above


Correct Option: A
Explanation:

Surgery is the only effective treatment for Hirschsprung's disease.

What is the most common cause of intussusception in neonates?

  1. Meconium ileus

  2. Hirschsprung's disease

  3. Viral infection

  4. All of the above


Correct Option: C
Explanation:

Viral infection is the most common cause of intussusception, a condition in which one part of the intestine slides into another part, in neonates.

What is the treatment for intussusception?

  1. Surgery

  2. Medication

  3. Enemas

  4. All of the above


Correct Option: D
Explanation:

Surgery, medication, and enemas may all be used to treat intussusception.

What is the most effective way to prevent vomiting in neonates?

  1. Breastfeeding

  2. Bottle-feeding

  3. Thickening feedings

  4. Burping frequently


Correct Option: A
Explanation:

Breastfeeding is the most effective way to prevent vomiting in neonates, as breast milk is more easily digested than formula.

When should you call your doctor about vomiting in a neonate?

  1. If it occurs more than once a day

  2. If it is forceful or projectile

  3. If it is accompanied by abdominal pain

  4. All of the above


Correct Option: D
Explanation:

You should call your doctor about vomiting in a neonate if it occurs more than once a day, is forceful or projectile, or is accompanied by abdominal pain.

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