The Late Preterm Infant — Board-Style Questions

What this deck covers

The Late Preterm Infant in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Bigger than the one in the next cot
2. Booked for a Thursday
3. Cold in an open cot
4. Where he should be nursed
5. Grunting at twenty minutes
6. Five minutes, then sleep
7. Waiting for him to ask
8. Her milk and the clock
9. A tube for a while
10. Topping up, and what with
11. Yellow on the fourth day
12. Judged by the clock
13. What he has to be able to do
14. Back within the week
15. Seen by somebody, sometime
16. Still topping up at four weeks
17. Looked fine on the round
18. When it stops being the answer

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: An early sign of infection, Transitional care, Retained lung fluid, Established milk refusal, Water between feeds, The time he spent attached, Reaching a fixed weight of two and a half kilograms, That the family should attend if they become worried, Discharging before the third day.

Clinical pearls from this deck

• The late preterm baby’s problem is the calendar, and he does not look like it.
• Between 37 and 39 weeks the baby is still finishing, and the difference is measurable.
• The room that is comfortable for the adults is not warm enough for the 36-weeker in it.
• Transitional care exists for exactly this baby; the question is whether the unit offers it.
• The late preterm lung was counting on labour, and an elective section does not provide it.
• A late preterm baby stops feeding because he is tired, and tiredness looks like contentment.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all neonatology case decks · pediatric reference values.