1.
Definisi dari bayi prematur adalah
Correct Answer
A. Bayi yang lahir pada usia kehamilan < 37 minggu
Explanation
The correct answer is "Bayi yang lahir pada usia kehamilan < 37 minggu." This is because the definition of a premature baby is a baby that is born before 37 weeks of pregnancy. Babies born between 37 and 39 weeks are considered full-term, while babies born at or after 39 weeks are considered post-term.
2.
Definisi dari bayi berat lahir rendah adalah
Correct Answer
A. Bayi dengan berat lahir < 2500 gram
Explanation
The correct answer is "Bayi dengan berat lahir < 2500 gram." This means that a low birth weight baby is defined as a baby who weighs less than 2500 grams at birth.
3.
Pernyataan yang benar tentang perbedaan bayi prematur dengan bayi berat lahir rendah adalah
Correct Answer
A. Biasanya bayi yang prematur adalah bayi berat lahir rendah
Explanation
The correct answer is "Biasanya bayi yang prematur adalah bayi berat lahir rendah." This means that usually premature babies are low birth weight babies. This implies that not all low birth weight babies are premature, but most premature babies are low birth weight.
4.
Pada bayi prematur terdapat istilah 2 usia, yaitu usia kronologis dan usia koreksi. Pernyataan yang benar tentang usia kronologis dan usia koreksi adalah
Correct Answer
A. Usia kronologis adalah usai sesuai actual bayi dilahirkan, sedangkan usia koreksi adalah usia jika bayi lahir normal/ cukup bulan
Explanation
The correct answer states that usia kronologis (chronological age) refers to the age according to the actual birth of the baby, while usia koreksi (corrected age) refers to the age if the baby had been born full term or at a normal gestational age. This means that the chronological age is based on the actual number of days, weeks, or months since the baby was born, while the corrected age takes into account the prematurity of the baby and adjusts their age to what it would be if they were born full term.
5.
Cara menghitung usia koreksi yang benar adalah
Correct Answer
A. Usia kronologis - (40minggu - usia kelahiran dalam minggu)
Explanation
The correct answer is "Usia kronologis - (40minggu - usia kelahiran dalam minggu)". This formula is used to calculate the corrected age by subtracting the difference between 40 weeks and the gestational age at birth from the chronological age. This is commonly done for premature infants who may have developmental delays compared to full-term infants. By subtracting the difference, the corrected age provides a better estimate of the infant's developmental stage and can be used for monitoring growth and development.
6.
Saat ini Bayi Adele berusia 13 bulan, tapi lahir prematur saat usia kehamilan 30 minggu. Berapakah usia koreksi bayi Adele?
Correct Answer
A. 10.5 bulan
Explanation
The corrected age of a premature baby is calculated by subtracting the number of weeks the baby was born prematurely from their current age. In this case, Adele was born at 30 weeks gestation, which is 10 weeks earlier than the usual 40 weeks of pregnancy. Therefore, to find her corrected age, we subtract 10 weeks from her current age of 13 months, which equals 10.5 months.
7.
Pada bayi premature, biasanya terjadi Extra Uterine Growth Retardation, yaitu
Correct Answer
A. Suatu kondisi dimana pertumbuhan dan perkembangan bayi yang sudah berada di luar kandungan mengalami keterlambatan
Explanation
In premature babies, Extra Uterine Growth Retardation usually occurs, which is a condition where the growth and development of the baby outside the womb are delayed.
8.
Pernyataan berikut yang bukan merupakan efek jangka pendek dari kondisi Extra Uterine Growth Retardation adalah
Correct Answer
A. CVD dan metabolik syndrom
Explanation
The correct answer is "CVD dan metabolik syndrom." This is not a short-term effect of Extra Uterine Growth Retardation. CVD (Cardiovascular Disease) and metabolic syndrome are long-term health conditions that may develop later in life as a result of poor growth and development during the early stages. The short-term effects mentioned in the other options, such as failure to thrive, infection complications, delayed tissue maturation, feeding intolerance, and respiratory problems, are more directly associated with Extra Uterine Growth Retardation in the short term.
9.
Pemberian nutrisi pada bayi prematur merupakan tantangan tersendiri. Pernyataan berikut yang bukan merupakan masalah yang biasa terjadi pada pemberian nutrisi untuk bayi premature adalah
Correct Answer
A. Suhu tubuh yang tidak stabil, hanya bisa diberikan melalui IV
Explanation
The statement "suhu tubuh yang tidak stabil, hanya bisa diberikan melalui IV" (unstable body temperature, can only be given through IV) is not a common problem in the administration of nutrition for premature babies. Premature babies often struggle with issues such as underdeveloped swallowing muscles, weak immune systems, and incomplete GI tract, which may require fluid restrictions. However, the statement about unstable body temperature and the need for IV administration is not mentioned as a common problem in the given context.
10.
Pemberian nutrisi pada bayi prematur dapat dilakukan melalui IV, enteral, dan oral. Pernyataan yang benar tentang pemberian nutrisi secara enteral adalah
Correct Answer
A. Jika bayi lahir < 28 minggu, dengan berat 1000gram, maka pemberian nutrisi enteral dimulai setelah 24 jam
Explanation
The correct answer is "Jika bayi lahir < 28 minggu, dengan berat 1000gram, maka pemberian nutrisi enteral dimulai setelah 24 jam." This answer states that if a baby is born before 28 weeks with a weight of 1000 grams, enteral nutrition should be initiated after 24 hours. This means that the baby should receive nutrition through methods other than enteral feeding, such as intravenous or oral, for the first 24 hours after birth.
11.
Untuk mencegah terjadinya Extra Uterine Growth Retardation, diperlukan pemberian nutrisi yang tepat. Fokus nutrisi untuk bayi premature adalah
Correct Answer
A. Jumlah protein dan kalori
Explanation
To prevent Extra Uterine Growth Retardation in premature babies, it is necessary to provide appropriate nutrition. The focus of nutrition for premature babies is on the amount of protein and calories. This is because protein is essential for growth and development, while an adequate calorie intake is necessary to support the energy needs of the baby. By ensuring an adequate amount of protein and calories, the baby's growth and development can be supported, reducing the risk of Extra Uterine Growth Retardation.
12.
Apabila kebutuhan protein dan energi pada bayi prematur tidak adekuat akan menyebabkan terjadi nya gagal tumbuh, yaitu :
Correct Answer
A. Tidak ada kenaikan berat badan dan penambahan ukuran lingkar kepala
Explanation
When the protein and energy needs of a premature baby are not met adequately, it can lead to failure to thrive. This means that there will be no increase in weight gain and no increase in head circumference. The answer option accurately describes the consequences of inadequate protein and energy intake in premature babies.
13.
Dampak utama dari gagal tumbuh tersebut adalah
Correct Answer
A. Gangguan motorik dan kecerdasan
Explanation
The main impact of growth failure is motor and intellectual impairment. This means that when a person fails to grow properly, it can lead to difficulties in both their physical coordination and their cognitive abilities.
14.
Kebutuhan protein dan energi pada bayi premature lebih tinggi dibandingkan bayi cukup bulan. Kebutuhan protein bayi prematur mencapai 3.4-4.2gram/kgBB/hari. Pernyataan yang benar terkait dengan pemberian protein adalah
Correct Answer
A. Bayi premature sebaiknya diberikan fortified preterm breastmilk karena memberikan protein sebanyak 3.6gram/kgBB/hari apabila diberikan sebanyak 120Kkal/kgBB/hari
Explanation
The correct answer is that premature babies should be given fortified preterm breastmilk because it provides 3.6 grams of protein per kilogram of body weight per day when given at a rate of 120 kilocalories per kilogram of body weight per day. This option aligns with the statement that the protein requirement for premature infants is 3.4-4.2 grams per kilogram of body weight per day.
15.
Mengapa bayi premature tidak disarankan untuk diberikan preterm formula saja, mengingat kadar protein nya paling mendekati kebutuhan protein dalam sehari?
Correct Answer
A. Karena formula meningkatkan kasus NEC 6.5x lipat
Explanation
The correct answer is because formula increases the risk of NEC (necrotizing enterocolitis) 6.5 times. This means that giving preterm formula to premature babies can significantly increase their chances of developing NEC, a serious condition that affects the intestines. Therefore, it is not recommended to rely solely on preterm formula for premature babies, despite its protein content being closer to their daily protein needs.