Chapter 16, & 17

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| By Jolly Sam
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Chapter 16, & 17 - Quiz

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Questions and Answers
  • 1. 

     A full-term baby was born 4 days ago, discharged, then returns with jaundiced. The baby is diagnosed with hyperbilirubinemia. 1. A full-term baby was born 4 days ago, discharged, then returns with jaundiced. The baby is diagnosed with hyperbilirubinemia.

    Explanation
    The correct answer, P59.9, refers to neonatal jaundice, which is a common condition in newborns characterized by yellowing of the skin and eyes due to high levels of bilirubin. In this case, the baby was born full-term and developed jaundice after being discharged from the hospital. Hyperbilirubinemia is the medical term for high levels of bilirubin in the blood, which is the underlying cause of neonatal jaundice. Therefore, P59.9 is the appropriate code to describe the baby's condition.

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  • 2. 

    Newborn (suspected to be) affected by maternal use of cocaine

    Explanation
    The given correct answer, P04.41, represents a code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system. P04.41 is the code for a newborn (suspected to be) affected by maternal use of cocaine. This code is used to indicate that the newborn may have been exposed to cocaine during pregnancy and is experiencing symptoms or complications as a result.

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  • 3. 

    A pregnant alcoholic mother delivered a full-term infant in a hospital, baby with fetal alcohol syndrome.

    Explanation
    The codes Z38.00 and Q86.0 are used to classify the delivery of a full-term infant by a pregnant alcoholic mother with fetal alcohol syndrome. Z38.00 represents a single liveborn infant born in a hospital, while Q86.0 represents fetal alcohol syndrome, which is a condition that occurs when a pregnant woman consumes alcohol and it affects the development of the fetus. Therefore, these codes accurately describe the situation of a pregnant alcoholic mother delivering a full-term infant with fetal alcohol syndrome.

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  • 4. 

    Newborn delivery at 25 weeks of gestation with birth weight of 610g.

    Explanation
    The given answer, P05.12 and P07.22, refers to the ICD-10 codes for preterm newborn with a birth weight of 500-749g (P05.12) and extreme immaturity of newborn, 24-27 completed weeks of gestation (P07.22). These codes are used to classify and document the medical conditions of the newborn. Therefore, the answer indicates that the newborn in question was born prematurely at 25 weeks of gestation with a birth weight of 610g.

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  • 5. 

    Premature delivery by cesarean section, mother was a cocaine user throughout pregnancy, birth weight of 1247g, 30-week gestation, baby with dehydration.

    Explanation
    The given answer includes multiple codes that represent different aspects of the scenario described. Z38.01 represents the code for the liveborn infant born by cesarean section. P04.41 indicates the low birth weight of the baby (1247g). P07.14 represents the gestational age of the baby (30 weeks). P07.34 indicates that the baby is suffering from dehydration. Lastly, P74.1 represents the code for neonatal dehydration. These codes collectively provide a comprehensive description of the premature delivery by cesarean section, the mother's cocaine use during pregnancy, the low birth weight, gestational age, and the baby's dehydration.

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  • 6. 

    An infant was born 4 days ago and was discharged, now admitted with Staphylococcus aureus sepsis.

    Explanation
    The given answer, P36.2, is the correct ICD-10 code for neonatal sepsis due to Staphylococcus aureus. This code is used to classify cases where a newborn infant develops a systemic infection caused by the bacteria Staphylococcus aureus. The fact that the infant was born 4 days ago and is now admitted with Staphylococcus aureus sepsis indicates that the infection occurred after birth and is affecting the infant's bloodstream.

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  • 7. 

    Death or loss of a baby occurs before or during delivery

  • 8. 

    An infant delivered via cesarean section, with complete transposition of great vessels

    Explanation
    The given answer Z38.01, Q20.3 represents the correct coding for an infant delivered via cesarean section with complete transposition of great vessels. Z38.01 is the ICD-10 code for the liveborn infant, and Q20.3 is the ICD-10 code for complete transposition of the great vessels. This coding accurately captures the method of delivery and the specific congenital heart defect present in the infant.

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  • 9. 

    An infant born with cleft palate of both hard and soft palate.

    Explanation
    The given answer, Q37.4, is the correct code for an infant born with cleft palate of both the hard and soft palate. This code is from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) which is used for medical coding and classification. It specifically represents "Cleft palate with cleft lip" in the ICD-10-CM system. This condition occurs when the roof of the mouth (hard palate) and the soft tissue at the back of the mouth (soft palate) do not fuse properly during fetal development.

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  • 10. 

    Newborn (suspected to be) affected by maternal renal and urinary tract diseases

    Explanation
    This is the correct answer because P00.1 is the ICD-10 code for newborn affected by maternal renal and urinary tract diseases. This code is used to classify newborns who are suspected to be affected by diseases related to the mother's renal and urinary tract conditions.

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  • 11. 

    Newborn (suspected to be) affected by oligohydramnios

    Explanation
    The given correct answer, P01.2, is a medical code used to classify newborns suspected to be affected by oligohydramnios. Oligohydramnios is a condition where there is an insufficient amount of amniotic fluid surrounding the fetus during pregnancy. This code helps healthcare professionals accurately document and track cases of suspected oligohydramnios in newborns for further diagnosis and treatment.

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  • 12. 

    Newborn (suspected to be) affected by unspecified morphological and functional abnormalities of placenta

    Explanation
    The given correct answer P02.20 is a code from the International Classification of Diseases, Tenth Revision (ICD-10). It represents a newborn suspected to be affected by unspecified morphological and functional abnormalities of the placenta. This code is used to classify and track cases of newborns who may have abnormalities related to the structure and function of the placenta, which can potentially impact their health and development.

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  • 13. 

    Newborn (suspected to be) affected by precipitate delivery

    Explanation
    The correct answer is P03.5 because P03.5 is the ICD-10 code for "Newborn (suspected to be) affected by precipitate delivery." This code is used to classify newborns who are suspected to have been affected by a precipitate delivery, which is a delivery that occurs very quickly and without warning. The code helps healthcare providers track and monitor cases of precipitate delivery in newborns.

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  • 14. 

    Intraventricular hemorrhage due to birth injury

  • 15. 

    Cephalhematoma due to birth injury

    Explanation
    P12.0 is the correct answer because it is the ICD-10 code for cephalhematoma due to birth injury. A cephalhematoma is a collection of blood under the scalp that occurs as a result of trauma during childbirth. The code P12.0 specifically identifies this condition and allows for proper documentation and billing purposes.

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  • 16. 

    Umbilical hemorrhage of newborn, unspecified

    Explanation
    The given answer, P51.9, refers to "Umbilical hemorrhage of newborn, unspecified." This code is used when there is bleeding from the umbilical cord in a newborn, but the cause or specific details are not specified. It is a general code that is used when the exact cause or nature of the hemorrhage is not known or documented.

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  • 17. 

    ABO isoimmunization of newborn

    Explanation
    ABO isoimmunization of newborn refers to the condition where there is an incompatibility between the mother's blood type and the baby's blood type. This can occur when the mother has a different blood type than the baby, leading to the production of antibodies by the mother against the baby's blood cells. The ICD-10 code P55.1 is used to classify this condition. It is important to identify and manage ABO isoimmunization of newborn promptly to prevent complications such as jaundice and anemia in the baby.

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  • 18. 

    Kernicterus due to isoimmunization

    Explanation
    The correct answer is P57.0, which refers to Kernicterus due to isoimmunization. Kernicterus is a rare neurological condition caused by excessive bilirubin levels in the blood, leading to brain damage. Isoimmunization occurs when the mother's immune system produces antibodies against the baby's red blood cells, causing hemolysis and an increase in bilirubin levels. This condition can result in severe jaundice and neurological complications, including Kernicterus. Therefore, P57.0 is the appropriate code to describe this specific form of Kernicterus.

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  • 19. 

    Inspissated bile syndrome

  • 20. 

    Polycythemia neonatorum

    Explanation
    The correct answer, P61.1, refers to the specific code for polycythemia neonatorum. Polycythemia neonatorum is a condition in which there is an excess of red blood cells in a newborn's body. This can occur due to various reasons, such as delayed clamping of the umbilical cord, maternal diabetes, or maternal smoking. The excess red blood cells can lead to symptoms like respiratory distress, poor feeding, and jaundice in the newborn. Therefore, P61.1 is the appropriate code to identify and document this condition.

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  • Aug 12, 2023
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