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Neonatal Dehydration: Recognizing and Managing Fluid Loss

Description: Neonatal Dehydration: Recognizing and Managing Fluid Loss
Number of Questions: 15
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Tags: neonatal dehydration fluid loss pediatrics
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Which of the following is a common cause of neonatal dehydration?

  1. Diarrhea

  2. Vomiting

  3. Fever

  4. All of the above


Correct Option: D
Explanation:

Diarrhea, vomiting, and fever are all common causes of neonatal dehydration.

What is the primary mechanism of fluid loss in neonatal dehydration?

  1. Insensible water loss

  2. Sensible water loss

  3. Both insensible and sensible water loss

  4. None of the above


Correct Option: C
Explanation:

Neonatal dehydration can result from both insensible water loss (e.g., through the skin and respiratory tract) and sensible water loss (e.g., through diarrhea and vomiting).

Which of the following is a clinical sign of neonatal dehydration?

  1. Dry mucous membranes

  2. Sunken fontanelles

  3. Tachycardia

  4. All of the above


Correct Option: D
Explanation:

Dry mucous membranes, sunken fontanelles, and tachycardia are all clinical signs of neonatal dehydration.

What is the recommended initial fluid resuscitation for a neonate with mild to moderate dehydration?

  1. 0.9% saline

  2. 5% dextrose in water

  3. Lactated Ringer's solution

  4. Normal saline


Correct Option: D
Explanation:

Normal saline is the recommended initial fluid resuscitation for a neonate with mild to moderate dehydration.

How is the severity of neonatal dehydration classified?

  1. Mild

  2. Moderate

  3. Severe

  4. All of the above


Correct Option: D
Explanation:

Neonatal dehydration is classified as mild, moderate, or severe based on the percentage of body weight lost.

What is the recommended maintenance fluid rate for a neonate with mild to moderate dehydration?

  1. 100 mL/kg/day

  2. 150 mL/kg/day

  3. 200 mL/kg/day

  4. 250 mL/kg/day


Correct Option: B
Explanation:

The recommended maintenance fluid rate for a neonate with mild to moderate dehydration is 150 mL/kg/day.

Which of the following is a potential complication of neonatal dehydration?

  1. Hypovolemic shock

  2. Metabolic acidosis

  3. Seizures

  4. All of the above


Correct Option: D
Explanation:

Hypovolemic shock, metabolic acidosis, and seizures are all potential complications of neonatal dehydration.

What is the recommended route of fluid administration for a neonate with severe dehydration?

  1. Oral

  2. Intravenous

  3. Subcutaneous

  4. Intramuscular


Correct Option: B
Explanation:

Intravenous fluid administration is the recommended route for a neonate with severe dehydration.

Which of the following is a key factor in preventing neonatal dehydration?

  1. Adequate breastfeeding or formula feeding

  2. Avoiding overdressing the neonate

  3. Maintaining a cool and humid environment

  4. All of the above


Correct Option: D
Explanation:

Adequate breastfeeding or formula feeding, avoiding overdressing the neonate, and maintaining a cool and humid environment are all key factors in preventing neonatal dehydration.

What is the recommended duration of fluid resuscitation for a neonate with mild to moderate dehydration?

  1. 24 hours

  2. 48 hours

  3. 72 hours

  4. Until the neonate is fully rehydrated


Correct Option: D
Explanation:

Fluid resuscitation should be continued until the neonate is fully rehydrated, as determined by clinical assessment and laboratory findings.

Which of the following is a sign of overhydration in a neonate?

  1. Edema

  2. Weight gain

  3. Lethargy

  4. All of the above


Correct Option: D
Explanation:

Edema, weight gain, and lethargy are all signs of overhydration in a neonate.

What is the recommended rate of fluid administration for a neonate with severe dehydration?

  1. 10 mL/kg/hour

  2. 20 mL/kg/hour

  3. 30 mL/kg/hour

  4. 40 mL/kg/hour


Correct Option: D
Explanation:

The recommended rate of fluid administration for a neonate with severe dehydration is 40 mL/kg/hour.

Which of the following is a potential consequence of overhydration in a neonate?

  1. Hyponatremia

  2. Seizures

  3. Heart failure

  4. All of the above


Correct Option: D
Explanation:

Hyponatremia, seizures, and heart failure are all potential consequences of overhydration in a neonate.

What is the recommended frequency of monitoring a neonate with dehydration?

  1. Every 1 hour

  2. Every 2 hours

  3. Every 4 hours

  4. Every 6 hours


Correct Option: A
Explanation:

A neonate with dehydration should be monitored every 1 hour to assess fluid status and response to treatment.

Which of the following is a key factor in assessing the severity of neonatal dehydration?

  1. Percentage of body weight lost

  2. Clinical signs of dehydration

  3. Laboratory findings

  4. All of the above


Correct Option: D
Explanation:

The severity of neonatal dehydration is assessed based on a combination of factors, including percentage of body weight lost, clinical signs of dehydration, and laboratory findings.

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