Deck 23: Certain Conditions Originating in the Perinatal Period and Congenital Malformations, Deformations, and Chromosomal Abnormalities

Question 1

A code from category A41, septicemia, should not be used on a(n) ____ record.

A)newborn
B)child
C)teenager
D)adult

Answer 1

A

Question 2

If the baby scores a ____ or higher on the Apgar test 1 minute after birth, he or she is considered to be healthy.

A)1
B)5
C)7
D)3

Answer 2

C

Question 3

Newborn is delivered vaginally. The baby was premature at 34 3/7 weeks'gestation and weighed 1842

A)Z38.00, P96.83, P07.16, P07.32
B)P07.17, P24.00, A38.00, P07.32
C)Z38.00, P07.17, P07.37, P96.83
D)Z37.0, P03.82, P07.17, P07.32
G) Meconium staining was noted at delivery.

Answer 3

C

Question 4

Spina bifida is a curable congenital anomaly because there is a way to repair the damaged nerve tissue.

Question 5

When locating infections of the newborn, it is best to look under the main term for the infection and then to look for a subterm of newborn, fetal, or congenital.

Question 6

Newborn is delivered vaginally and is ruled in for group B strep sepsis.

A)Z38.00, A41.9, R65.20, P00.2
B)Z38.01, P00.2
C)Z38.01, R65.20, A41.9
D)Z38.00, P36.0

Question 7

Which of the following makes a condition clinically significant?

A)The condition requires a clinical evaluation.
B)The condition requires therapeutic treatment.
C)The condition requires an extended hospital stay.
D)All of the above are correct.

Question 8

Child is seen in pediatrician's office. She has a diagnosis of Down syndrome with ADHD, sleep apnea, and mild mental retardation. Her medications are reviewed, and a suggestion is made to have a sleep study.

A)Q90.0, F70, G47.30, F90.8
B)Q90.0, F79, G47.39, F90.9
C)Q90.9, F70, G47.30, F90.0
D)Q90.9, F79, G47.39, F90.9

Question 9

The child was admitted for repair of unilateral cleft lip and cleft soft and hard palate. He is an ex-33-week preemie. A repair of both the hard and soft palate and lip is performed by open approach.

A)Q37.5, 0CQ00ZZ, 0CQ20ZZ
B)Q37.4, 0CQ00ZZ, 0CQ20ZZ
C)Q37.4, P07.36, 0CQ0XZZ, 0CQ2XZZ
D)Q37.5, P07.36, 0CQ00ZZ, 0CQ20ZZ, 0CQ30ZZ

Question 10

Prematurity is based on recorded birth weight and gestational age and documentation of prematurity.

Question 11

In most cases, pregnancies with chromosomal anomalies end with a natural miscarriage.

Question 12

Cleft lip occurs in approximately 1 in every 2000 babies.

Question 13

Which of the following is true of Chapter 16 codes?

A)Chapter 16 codes are never for use on the maternal record.
B)Chapter 16 codes may be used throughout the life of the patient if the condition is still present.
C)Chapter 16 codes generally should be sequenced as the principal diagnosis on the newborn record, except the birth record, where the Z38 code is assigned.
D)All of the above are true.

Question 14

Congenital conditions are always present, well defined, and diagnosed at birth.

Question 15

An infant is born by cesarean section. On exam, the infant is noted to have neonatal teeth and a strawberry nevus on the left leg.

A)Z38.01, K00.6, Q82.5
B)Z38.00, K00.9, Q82.8
C)Z38.01, K00.9, Q82.5
D)Z38.00, K00.6, Q82.8

Question 16

An infant is born via vaginal delivery with intrauterine growth retardation. The baby is premature, being born at 33 2/7 weeks' gestation and weighing 1800

A)Z38.00, P05.9, P24.01, P59.0, 6A800ZZ
B)Z38.00, P07.17, P07.36, P24.00, P59.0, 6A800ZZ
C)Z37.0, P05.9, P07.35, P24.00, P59.0, 6A600ZZ
D)Z37.0, P07.36, P24.00, P59.0, 6A600ZZ
G) Meconium aspiration is noted at delivery. Jaundice due to prematurity, which was treated with phototherapy (ultraviolet), single session.

Question 17

There is abnormal fetal heart rate or rhythm during labor, and infant is therefore delivered by C-section. Mother was instructed on discharge to put the baby in front of the window in the sun to alleviate the mild jaundice. In addition, a lactation consult was performed during this stay because the baby was having difficulty breastfeeding.

A)Z38.01, P92.5, P59.9
B)Z38.00, P92.8, P59.3
C)Z38.00, P03.811, P92.8, P59.9
D)Z38.01, P03.810, P92.5, P59.3

Question 18

Which of the following is NOT a congenital condition?

A)Marfan syndrome
B)Down syndrome
C)Bronchopulmonary dysplasia
D)Klinefelter syndrome

Question 19

TTN (transitory tachypnea of newborn) means the infant ____.

A)retains lung fluid
B)is disoriented
C)dies shortly after birth
D)has a bowel movement in the womb during birth
E)none of the above is correct

Question 20

The A in the Apgar test given to babies stands for ____.

A)apprehension
B)alertness
C)appearance
D)appetite

Question 21

What is a congenital anomaly?

Question 22

Vaginal delivery at term of baby with fractured right clavicle due to birth injury: __________

Question 23

Cesarean delivery at term of baby with TTN: __________

Question 24

Vaginal delivery of infant with a birth weight of 4600 g at 42 weeks'gestation; physician documents postterm infant who is large for dates: __________

Question 25

For coding purposes, what is the perinatal period considered?

Question 26

Cesarean delivery at term with infant in fetal distress following birth: __________

Question 27

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
The most common chromosomal abnormality that is characterized by an extra chromosome 21

Question 28

Cesarean delivery at term of interlocking twins, twin A: __________

Question 29

If the condition of the newborn is community acquired, should a code from Chapter 16 be assigned?

Question 30

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
A disorder that involves incomplete development of the brain, spinal cord, and/or their protective coverings

Question 31

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
A congenital heart defect manifested by four key features, all involving the heart

Question 32

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
Caused by a gene mutation characterized by an inheritable condition that affects the connective tissue

Question 33

What does LGA stand for?

Question 34

What does AGA stand for?

Question 35

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
Occurs in the fifth week of fetal development and is characterized by a small pouch on the wall of the small bowel containing ectopic tissue

Question 36

____________________ involves problems of the mouth and oral cavity. It may require several reconstructive surgeries after the baby is at least 10 weeks old and weighs at least 10 lb.

Question 37

There is no cure for Down syndrome, but the risk increases the older the mother is during her pregnancy.

Question 38

What is meconium?

Question 39

What is the most common treatment for infants with moderate jaundice?

Question 40

Match each definition to one of the following items.
a.Klinefelter syndrome
b.Spina bifida
c.Meckel diverticulum
d.Marfan syndrome
e.Tetralogy of Fallot
f.Down syndrome
Occurs only in males, characterized as a sex chromosome disorder that occurs when an extra X chromosome is present

Question 41

A 53-year-old male with polycystic kidney disease is admitted. Lab tests reveal worsening kidney function, and the patient is classified at stage V chronic kidney disease. Workup for possible transplant is completed during admission, and the patient is placed on a transplant list. What codes are applicable? __________

Question 42

Polydactyly fingers: __________

Question 43

Cesarean delivery at term of baby; hypothermia (not environmental) noted on admit to nursery: __________

Question 44

A baby is born via C-section. Apgar scores are 5 at 1 minute and 7 at 5 minutes. Because of the mother's fever during labor, sepsis workup is performed. Antibiotics are discontinued when cultures return negative and sepsis is ruled out. What codes are applicable? __________

Question 45

Imperforate hymen: __________

Question 46

Achondroplasia: __________

Question 47

Congenital pigeon chest: __________