Deck 22: Certain Conditions Originating in the Perinatal Period and Congenital Malformations, deformations, and Chromosomal Abnormalities

Question 1

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

Answer 1

D

Question 2

An infant is born via vaginal delivery with intrauterine growth retardation.The baby is premature being born at 33 2/7 weeks and weighing 1800 grams.Meconium aspiration is noted at delivery.Jaundice due to prematurity which was treated with phototherapy,single session.

A)Z38.00,P05.9,P24.01,P59.0,6A600ZZ
B)Z38.00,P07.17,P07.36,P24.00,P59.0,6A600ZZ
C)Z37.0,P05.9,P07.35,P24.00,P59.0,6A600ZZ
D)Z37.0,P07.36,P24.00,P59.0,6A600ZZ

Answer 2

B

Question 3

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.

Answer 3

D

Question 4

Bronchopulmonary dysplasia (BPD) is a chronic lung disease that ____. 1.is present immediately at birth
2)develops in the first 4 weeks of life
3)develops in the first year of life
4)happens only in full-term infants
5)is most likely to occur in premature infants
6)is most likely to occur in infants that weigh less than 1500 grams

A)1 and 4 only
B)2,5,and 6 only
C)3 and 4 only
D)1,3,and 6 only
E)None of the above

Question 5

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

Question 6

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 as the baby was having difficulty breast-feeding.

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 7

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 8

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

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

Question 9

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

Question 10

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

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

Question 11

The child was admitted for repair of 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 external approach.

A)Q37.5,0CQ0XZZ,0CQ2XZZ
B)Q37.4,0CQ0XZZ,0CQ2XZZ
C)Q37.4,P07.36,0CQ0XZZ,0CQ2XZZ
D)Q37.5,P07.36,0CQ0XZZ,0CQ2XZZ,0CQ3XZZ

Question 12

TNN (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 are correct

Question 13

Child is seen in pediatrician's office.She has a diagnosis of Down syndrome with ADD,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 14

Which of the following is NOT a congenital condition?

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

Question 15

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

Question 16

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

Question 17

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 18

Newborn is delivered vaginally.The baby was premature at 34 3/7 weeks and weighed 1842 grams.Meconium staining was noted at delivery.

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

Question 19

An infant is born by cesarean section.On examination,the infant is noted to have neonatal teeth and 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 20

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

Question 21

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 22

Cesarean delivery at term with infant in fetal distress during labor: __________

Question 23

For coding purposes,what is the perinatal period considered?

Question 24

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 25

Vaginal delivery of infant with a birth weight of 4600 grams at 42 weeks;physician documents large for dates: __________

Question 26

What is a congenital anomaly?

Question 27

Cesarean delivery at term of baby with TTN: __________

Question 28

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

Question 29

What is meconium?

Question 30

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 31

What does AGA stand for?

Question 32

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

Question 33

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

Question 34

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 35

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

Question 36

Cleft lip occurs in approximately 1 in every 2000 babies.

Question 37

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 38

What does LGA stand for?

Question 39

____________________ 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 pounds.

Question 40

Match the following congenital anomalies with the correct definition.
a.Klinefelter's syndrome
b.Spina bifida
c.Meckel's 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 41

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

Question 42

Achondroplasia: __________

Question 43

Congenital pigeon chest: __________

Question 44

A 53-year-old male with polycystic kidney disease is admitted.Laboratory 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 45

Cesarean delivery at term of baby;hypothermia noted on admit to nursery: __________

Question 46

A baby is born via C-section.Apgars 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.What codes are applicable? __________

Question 47

Polydactyly fingers: __________

Question 48

Imperforate hymen: __________