199 extractive question-and-answer pairs built from 1726568619 neonatology all, published by icmr.gov.in. The source is a 22-page publication. Source-evidenced topics include standard treatment workflows, neonatology, neonatal transport, neonatal seizures, neonatal jaundice, neonatal hypoglycemia, neonatal sepsis, neonatal emergency triage. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 124 factual, 36 list, 25 definition, 9 summary, 5 relationship. 75 of the 199 pairs (37.7%) ask explanatory questions; the remaining 124 are factual or table-based questions. 99.50% of rows pass the corpus quality gate.
This dataset contains 199 extractive question-and-answer pairs derived from a 22-page publication on neonatology by the Indian Council of Medical Research (ICMR). It covers topics such as neonatal transport, hypoglycemia, jaundice, and emergency triage. Each answer is a verbatim excerpt from the source document, ensuring traceability. The dataset includes various question types, such as factual, list-based, and explanatory, with 37.7% focusing on explanations. The sample rows provide insights into neonatal care protocols, definitions, and treatment guidelines.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-4dc6fc2a3eea9e8a7fbae1faeedbfdfe")
df.head()First 10 of 202 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What are the clinical signs of shock in neonates? | Cold periphery with CFT > 3 seconds, and weak/fast pulse | • Birth weight <1800 grams and/or gestational age <34 weeks • Neonates with: - Apnea or gasping - Respiratory distress with retractions or grunt, or not maintaining SpO2 with oxygen - Persistent Hypothermia or Hyperthermia - Severe jaundice requiring intensive phototherapy - Vomiting or abdominal distention - Central cyanosis - Need of positive pressure ventilation>60 seconds at birth - Non-passage of stool or urine for more than 24 hours after birth - Shock (Cold periphery with CFT > 3 seconds, and weak/fast pulse) - Refusal to feed, less movement, abnormal movements - Significant bleeding | 464 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | • Birth weight <1800 grams and/or gestational age <34 weeks • Neonates with: - Apnea or gasping - Respiratory distress with retractions or grunt, or not maintaining SpO2 with oxygen - Persistent Hypothermia or Hyperthermia - Severe jaundice requiring intensive phototherapy - Vomiting or abdominal distention - Central cyanosis - Need of positive pressure ventilation>60 seconds at birth - Non-passage of stool or urine for more than 24 hours after birth - Shock (Cold periphery with CFT > 3 seconds, and weak/fast pulse) - Refusal to feed, less movement, abnormal movements - Significant bleeding | 8 | page=8,block=4 | 0.700 | valid |
| What condition in neonates involves difficulty maintaining oxygen saturation despite receiving oxygen? | Respiratory distress with retractions or grunt, or not maintaining SpO2 with oxygen | • Birth weight <1800 grams and/or gestational age <34 weeks • Neonates with: - Apnea or gasping - Respiratory distress with retractions or grunt, or not maintaining SpO2 with oxygen - Persistent Hypothermia or Hyperthermia - Severe jaundice requiring intensive phototherapy - Vomiting or abdominal distention - Central cyanosis - Need of positive pressure ventilation>60 seconds at birth - Non-passage of stool or urine for more than 24 hours after birth - Shock (Cold periphery with CFT > 3 seconds, and weak/fast pulse) - Refusal to feed, less movement, abnormal movements - Significant bleeding | 98 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | • Birth weight <1800 grams and/or gestational age <34 weeks • Neonates with: - Apnea or gasping - Respiratory distress with retractions or grunt, or not maintaining SpO2 with oxygen - Persistent Hypothermia or Hyperthermia - Severe jaundice requiring intensive phototherapy - Vomiting or abdominal distention - Central cyanosis - Need of positive pressure ventilation>60 seconds at birth - Non-passage of stool or urine for more than 24 hours after birth - Shock (Cold periphery with CFT > 3 seconds, and weak/fast pulse) - Refusal to feed, less movement, abnormal movements - Significant bleeding | ||||
| What condition in neonates is eligible for therapeutic hypothermia? | Birth asphyxia qualifying for therapeutic hypothermia | • Birth weight <1000 grams and/or gestational age < 28 weeks • Neonates with: - Respiratory distress requiring mechanical ventilation - Unresponsive shock - Jaundice requiring exchange transfusion, if facility is not available - Refractory seizures - Need for surgical intervention - Birth asphyxia qualifying for therapeutic hypothermia - Multiorgan failure - Refractory hypoglycemia - Acute kidney injury needing dialysis | 284 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | • Birth weight <1000 grams and/or gestational age < 28 weeks • Neonates with: - Respiratory distress requiring mechanical ventilation - Unresponsive shock - Jaundice requiring exchange transfusion, if facility is not available - Refractory seizures - Need for surgical intervention - Birth asphyxia qualifying for therapeutic hypothermia - Multiorgan failure - Refractory hypoglycemia - Acute kidney injury needing dialysis | 8 | page=8,block=11 | 0.700 | valid |
| What is the Silverman Anderson Score used for in neonates with respiratory distress? | Quantify the severity of RD | Presence of any one: Tachypnea (RR >60 bpm), OR lower chest retractions, nasal flaring, grunting OR cyanosis ACTIONS • Rapid assessment of TABC (temperature, airway, breathing, circulation) and stabilize the baby • Admit the baby in SNCU/NICU • Nurse in a radiant warmer/incubator; monitor with continuous pulse oximetry • Quantify the severity of RD using Silverman Anderson Score [SAS] • Closely monitor RR, SAS, SpO2, and CFT • Most neonates with RD can be fed enterally (by breastfeeding [if RR<70 bpm and not on respiratory support] or orogastric tube). | 323 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | Presence of any one: Tachypnea (RR >60 bpm), OR lower chest retractions, nasal flaring, grunting OR cyanosis ACTIONS • Rapid assessment of TABC (temperature, airway, breathing, circulation) and stabilize the baby • Admit the baby in SNCU/NICU • Nurse in a radiant warmer/incubator; monitor with continuous pulse oximetry • Quantify the severity of RD using Silverman Anderson Score [SAS] • Closely monitor RR, SAS, SpO2, and CFT • Most neonates with RD can be fed enterally (by breastfeeding [if RR<70 bpm and not on respiratory support] or orogastric tube). | ||||
| What does pPROM stand for? | Preterm premature rupture of membranes | CBC: Complete blood count LP: Lumbar puncture RBS: Random blood sugar CRP: C-reactive protein NICU: Neonatal intensive care unit SNCU: Special newborn care unit CSF: Cerebrospinal fluid pPROM: Preterm premature rupture of membranes | 193 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | CBC: Complete blood count LP: Lumbar puncture RBS: Random blood sugar CRP: C-reactive protein NICU: Neonatal intensive care unit SNCU: Special newborn care unit CSF: Cerebrospinal fluid pPROM: Preterm premature rupture of membranes | 17 | page=17,block=67 | 0.700 | valid |
| What is the purpose of empowering healthcare professionals as stated by the Ministry of Health and Family Welfare? | achieving the overall goal of Universal Health Coverage | Ministry of Health and Family Welfare, Government of India To empower the primary, secondary and tertiary health care physicians/surgeons towards achieving the overall goal of Universal Health Coverage with disease management protocols and pre-defined referral mechanisms by decoding complex guidelines. | 146 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | Ministry of Health and Family Welfare, Government of India To empower the primary, secondary and tertiary health care physicians/surgeons towards achieving the overall goal of Universal Health Coverage with disease management protocols and pre-defined referral mechanisms by decoding complex guidelines. | 6 | page=6,block=11 | 0.700 | valid |
| What is the reason for keeping oxygen saturation below 95% during supplementation? | High oxygen saturation is a risk factor for retinopathy of prematurity | • DO NOT let SpO2 exceedc 95% while supplementing oxygen. High oxygen saturation is a risk factor for retinopathy of prematurity • DO NOT give unnecessary IV fluids, antibiotics, blood products or drugs • DO NOT perform unnecessary investigations (CBC, CRP, routine ABG) • DO NOT do routine chest X-ray in all neonates with RD. Perform chest X-ray if RD is persisting beyond 6 hours of age, there is worsening or a diagnostic dilemma No improvement Consider CPAP Increase flow up to 2 LPM Consider using oxygen hood if no retractions/grunt Monitor clinically and SpO2 Clinical deterioration, SpO2 <91% SpO2 >95%: Wean Oxygen flow SpO2 91-95% | 58 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | • DO NOT let SpO2 exceedc 95% while supplementing oxygen. High oxygen saturation is a risk factor for retinopathy of prematurity • DO NOT give unnecessary IV fluids, antibiotics, blood products or drugs • DO NOT perform unnecessary investigations (CBC, CRP, routine ABG) • DO NOT do routine chest X-ray in all neonates with RD. | 11 | |||
| What maternal health issue is linked to a newborn less than 7 days old? | foul smelling discharge or chorioamnionitis | Respiratory distress onset more than 6 hrs after birth Respiratory distress needing intubation or Silverman’s score >6 If age of baby is less than 7 days and mother has foul smelling discharge or chorioamnionitis Believe a negative blood culture report and stop antibiotics if baby has recovered. July/ 2020 | 169 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | Respiratory distress onset more than 6 hrs after birth Respiratory distress needing intubation or Silverman’s score >6 If age of baby is less than 7 days and mother has foul smelling discharge or chorioamnionitis Believe a negative blood culture report and stop antibiotics if baby has recovered. | 17 | page=17,block=58 | 0.700 | valid |
| What action is recommended if anticonvulsants are needed for more than three months? | consult a neurologist and switch to other drugs | Prefer oral route if no contraindication • After a seizure-free period of 72 h, stop all other anticonvulsants one by one, except phenobarbitone • After one week or at discharge (whichever is earlier), stop phenobarbitone if neurological examination and EEG are normal. If the neurological examination or EEG is abnormal (electrical seizure activity or a burst-suppression background): discharge on maintenance therapy • Review at monthly intervals and taper anticonvulsants if neurological examination and EEG become normal • If anticonvulsants are required beyond 3 months, consult a neurologist and switch to other drugs | 576 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | If the neurological examination or EEG is abnormal (electrical seizure activity or a burst-suppression background): discharge on maintenance therapy • Review at monthly intervals and taper anticonvulsants if neurological examination and EEG become normal • If anticonvulsants are required beyond 3 months, consult a neurologist and switch to other drugs | 10 | page=10,block=9 | ||
| What actions should be taken if a neonate appears sick but antibiotics are not required? | Looking for alternative reasons for sickness and careful serial observations | HR>160 persisting for one hour despite normal temperature Respiratory distress Lethargy Refusal to feed New or increased apneic episodes • Stop antibiotics • Keep under observation till blood culture is reported as sterile after 48 hrs of incubation • Continue antibiotics • Antibiotic duration based on blood culture and LP report • Upgrade antibiotics as per antibiotic local/unit policy • Antibiotic duration based on blood culture and LP report Seizures Floppiness Fever or hypothermia not due to environmental temperature Feed intolerance Do not start antibiotics without indication. Clinical features in neonates are non-specific. Looking for alternative reasons for sickness and careful serial observations are important ways to avoid unnecessary use of antibiotics. Main utility of both CRP and procalcitonin is to rule-out sepsis. | 637 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726568619_neonatology_all.pdf | Clinical features in neonates are non-specific. Looking for alternative reasons for sickness and careful serial observations are important ways to avoid unnecessary use of antibiotics. |
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| 8 |
| page=8,block=4 |
| 0.700 |
| valid |
| 11 |
| page=11,block=34 |
| 0.700 |
| valid |
| page=11,block=17 |
| 0.700 |
| valid |
| 0.700 |
| valid |
| 17 |
| page=17,block=3 |
| 0.700 |
| valid |