skip to main content

Intraventricular Haemorrhage — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNeonatologyIntraventricular HaemorrhageRACP Paediatrics

A preterm infant born at 27 weeks gestation undergoes a cranial ultrasound on day 3 of life. This shows a grade III intraventricular haemorrhage (IVH) with ventricular dilatation. What is the most important complication to monitor for?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Post-haemorrhagic hydrocephalus

Post-haemorrhagic hydrocephalus is the most important complication following grade III–IV IVH. Serial cranial ultrasound monitoring is essential to detect progressive ventricular dilatation. Management options include serial lumbar punctures or ventricular taps, a ventricular reservoir (Ommaya), and ultimately a ventriculoperitoneal shunt if hydrocephalus does not resolve.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Intraventricular Haemorrhage