Essential Neonatal Medicine

Sixth Edition

Sunil Sinha, Lawrence Miall and Luke Jardine

Multiple Choice QuestionsReturn to MCQ contents list »

Chapter 28: Question 1

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28.1 You receive an emergency call to the delivery room. On arrival you find a term male infant, birthweight 2800 g, receiving positive pressure ventilation via a T-piece in 70% oxygen. The saturations are 90% and the baby is now 10 minutes old. The baby has a cleft lip and palate, microcephaly, small eyes and small ears. You suspect the baby has trisomy 13. There had been no concerns during the pregnancy. Which one of the following is the most appropriate next step in the management of this baby?

A Immediately cease resuscitation attempts and allow baby to die peacefully.
B Tell parents the suspected diagnosis and seek their wishes with regards to ongoing resuscitation.
C Continue full resuscitation, stabilize the baby and admit to the nursery for investigations.
D Continue respiratory support but do not intubate the baby even if indicated.
E Collect blood immediately for chromosomes and contact a geneticist to confirm the diagnosis.