The Shocked Neonate

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Question 1 of 3

1. Question
Which of the following is the most significant risk factor for an umbilical hernia?
- Family history of umbilical hernias
- Female sex
- Prematurity
- Recent rotavirus vaccination
- Recent viral illness
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Question 2 of 3

2. Question
Which of the following statements best describes the complications associated with an umbilical hernias?
- 1 in 3 children are likely to develop complications. Surgical correction is therefore advised as soon as possible.
- 1 in 5 children are likely to develop complications. Surgical correction is often advised after the age of 1.
- Less than 1 in 100 are likely to develop complications. Surgical correction is rarely required, particularly if the defect is <1cm.
- Less than 1 in a 1000 are likely to develop complications. Surgical revision is never advised.
- The larger the defect the more likely it will close naturally.
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Question 3 of 3

3. Question
The child returns 3 weeks later. She looks unwell, with cool peripheries and a central capillary refill time of 5 seconds.

What would be the most appropriate first line of management once you have alerted your specialist team for assistance?
- Gain immediate IV or IO access. Resuscitate with 10ml/kg 0.9% Sodium Chloride Solution.
- Gain immediate IV or IO access. Resuscitate with 10ml/kg of 0.9% Sodium Chloride with 5% dextrose Solution.
- Gain immediate IV or IO access. Resuscitate with 20ml/kg of 0.9% Sodium Chloride Solution.
- Gain immediate IV or IO access. Resuscitate with 20ml/kg of 0.9% Sodium Chloride with 5% dextrose Solution.
- Gain immediate IV or IO access. Resuscitate with 20ml/kg of an isotonic colloid solution.
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The Shocked Neonate

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