Neonatal Final Exam UPDATED Actual
Exam Questions and CORRECT Answers
Which of the following factors of maternal history places the fetus at high risk? - CORRECT
ANSWER✔✔- Maternal age of 37 yr, previous miscarriage, previous premature delivery,
asthma, maternal obestiy
What of the following is a condition in which the mother develops elevated pressures and
proteinuria after the 20th week of pregnancy? - CORRECT ANSWER✔✔- preeclampsia
What is the conditon called in which the plcenta either partially or completely seperates from
the uterine wall? - CORRECT ANSWER✔✔- placental abruption
Once preterm labor is diagnosed, which of the following medications should be considered as
tolcolytic? - CORRECT ANSWER✔✔- Magnesium sulfate
Trasnmission of hepatitis B from the mother to the fetus occurs: - CORRECT ANSWER✔✔-
Through fluid contact at birth
A RT is reviewing the chart of a laboriong mother. The medical history reports the women is
of advanced maternal age. Which of the following would the RT suspect? - CORRECT
ANSWER✔✔- there is a high risk for placenta previa
Which test elaluates the fetus ability to tolerate changes in blood flow/fetal heart rate and
oxygenation during contraction? - CORRECT ANSWER✔✔- contraction stress test
What is the term for women older than 35 years of age at the stage of reproduction that is
associated with greater odds of complication? - CORRECT ANSWER✔✔- advanced
maternal age
What is a normal result for a non stress test? - CORRECT ANSWER✔✔- FHR should
increase with fetal movement.
,In a patients chart you note in the physicians progress note that the term primigravida was
used. How do you interpret this term? - CORRECT ANSWER✔✔- The patient is pregnant
for the first time or has been pregnant once in the past
What is the condition in which there is decreased amount of amniotic fluid? - CORRECT
ANSWER✔✔- Oligohydraminos
What is the condition in which the placenta is implanted abnormally low in the uterus and
partially or completely covers the cervix? - CORRECT ANSWER✔✔- Placenta previa
Which of the following cannot be detected by ultrasound? - CORRECT ANSWER✔✔-
Presence of infection
Following delivery, an infant experiencing cocaine withdrawal: - CORRECT ANSWER✔✔-
will appear agitated
what term is used to indicate the number of times the mother has been pregnant? -
CORRECT ANSWER✔✔- Gravida
A 2 year old child is transported to the emergency department by EMS. This child is
receiving supplemental oxygen by simple mask at 5L/min. Which of the following should the
RT do? - CORRECT ANSWER✔✔- Change to nasal cannula at 4 L/min
A newborn infant born at 30 weeks gestation requires supplemental oxygen at 30%. Which of
the following devices should the RT select to help prevent cold stress and deliver precise
oxygen concentration? - CORRECT ANSWER✔✔- incubator
A RT evaluates a child receiving 35% oxygen by air entrainment nebulizer connected to a
tracheostomy mask. The RT notes the child's secretions are very thick and difficult to remove
by suctioning. Which of the following should the RT do? - CORRECT ANSWER✔✔- Add a
heater to the oxygen delivery system
An infant with a trachesostomy is receiving 30% oxygen by heated aerosol nebulizer attached
to a tracheostomy mask. The child requires transport to radiology for diagnostic testing.
, Which of the following should the RT do for the intrafacility transport? - CORRECT
ANSWER✔✔- Attach an air entrainment adaptor to the tracheostomy mask
Which of the following devices in capable of increasing FRC by providing a CPAPeffect? -
CORRECT ANSWER✔✔- Heated high flow nasal cannula
A five year old patient with a history of asthma is admitted to the emergency room after
complaining of chest tightness and wheezing. The pulse Ox reading drops from 95% to 88%.
Which of he following devices shuold be selected to deliver oxygen to the patient? -
CORRECT ANSWER✔✔- Nasal Cannula
A RT is reviewing the electronic health record of a 1 month old infant with
bronchopulmonary dyplasia. The provider orders oxygen at 24% for feedings. Which of the
following should the respiratory therapist select? - CORRECT ANSWER✔✔- Standard nasal
cannula attached to a blender
Compared to adults, the extrathoracici dead space in children is: - CORRECT ANSWER✔✔-
2-3x greater
A 4 year old child is transported to the ED by EMS. The child is receiving supplemental
oxygen by simple mask at 8L/min. Which of the following best describes the FIO2 range this
device is delivering? - CORRECT ANSWER✔✔- 35-60%
A 10 year old is transported to the ED by EMS after being rescued from a housefire. The
child has second and third degree burns to the neck and upper chest. Singed nasal hairs are
noted and soot found in the nares and oropharyngeal area. The child is receiving oxygen by
simple mask at 10L/M. SPO2 upon arrival is 100%. Which of the following should the RT
do? - CORRECT ANSWER✔✔- Switch to a NRM
What is the definition of the heated high flow nasal cannula? - CORRECT ANSWER✔✔- an
oxygen device that provides a flow of heated, humidified gas at flow rates that meet or
exceed the patient's demand.
A term infant with transient tachypnea of the newbron is receiving oxygen via incubator at an
FIO2 of 0.023. The follwoing data is available: RR 50 breaths/min, HR 120 BPM, SPO2 93%
Exam Questions and CORRECT Answers
Which of the following factors of maternal history places the fetus at high risk? - CORRECT
ANSWER✔✔- Maternal age of 37 yr, previous miscarriage, previous premature delivery,
asthma, maternal obestiy
What of the following is a condition in which the mother develops elevated pressures and
proteinuria after the 20th week of pregnancy? - CORRECT ANSWER✔✔- preeclampsia
What is the conditon called in which the plcenta either partially or completely seperates from
the uterine wall? - CORRECT ANSWER✔✔- placental abruption
Once preterm labor is diagnosed, which of the following medications should be considered as
tolcolytic? - CORRECT ANSWER✔✔- Magnesium sulfate
Trasnmission of hepatitis B from the mother to the fetus occurs: - CORRECT ANSWER✔✔-
Through fluid contact at birth
A RT is reviewing the chart of a laboriong mother. The medical history reports the women is
of advanced maternal age. Which of the following would the RT suspect? - CORRECT
ANSWER✔✔- there is a high risk for placenta previa
Which test elaluates the fetus ability to tolerate changes in blood flow/fetal heart rate and
oxygenation during contraction? - CORRECT ANSWER✔✔- contraction stress test
What is the term for women older than 35 years of age at the stage of reproduction that is
associated with greater odds of complication? - CORRECT ANSWER✔✔- advanced
maternal age
What is a normal result for a non stress test? - CORRECT ANSWER✔✔- FHR should
increase with fetal movement.
,In a patients chart you note in the physicians progress note that the term primigravida was
used. How do you interpret this term? - CORRECT ANSWER✔✔- The patient is pregnant
for the first time or has been pregnant once in the past
What is the condition in which there is decreased amount of amniotic fluid? - CORRECT
ANSWER✔✔- Oligohydraminos
What is the condition in which the placenta is implanted abnormally low in the uterus and
partially or completely covers the cervix? - CORRECT ANSWER✔✔- Placenta previa
Which of the following cannot be detected by ultrasound? - CORRECT ANSWER✔✔-
Presence of infection
Following delivery, an infant experiencing cocaine withdrawal: - CORRECT ANSWER✔✔-
will appear agitated
what term is used to indicate the number of times the mother has been pregnant? -
CORRECT ANSWER✔✔- Gravida
A 2 year old child is transported to the emergency department by EMS. This child is
receiving supplemental oxygen by simple mask at 5L/min. Which of the following should the
RT do? - CORRECT ANSWER✔✔- Change to nasal cannula at 4 L/min
A newborn infant born at 30 weeks gestation requires supplemental oxygen at 30%. Which of
the following devices should the RT select to help prevent cold stress and deliver precise
oxygen concentration? - CORRECT ANSWER✔✔- incubator
A RT evaluates a child receiving 35% oxygen by air entrainment nebulizer connected to a
tracheostomy mask. The RT notes the child's secretions are very thick and difficult to remove
by suctioning. Which of the following should the RT do? - CORRECT ANSWER✔✔- Add a
heater to the oxygen delivery system
An infant with a trachesostomy is receiving 30% oxygen by heated aerosol nebulizer attached
to a tracheostomy mask. The child requires transport to radiology for diagnostic testing.
, Which of the following should the RT do for the intrafacility transport? - CORRECT
ANSWER✔✔- Attach an air entrainment adaptor to the tracheostomy mask
Which of the following devices in capable of increasing FRC by providing a CPAPeffect? -
CORRECT ANSWER✔✔- Heated high flow nasal cannula
A five year old patient with a history of asthma is admitted to the emergency room after
complaining of chest tightness and wheezing. The pulse Ox reading drops from 95% to 88%.
Which of he following devices shuold be selected to deliver oxygen to the patient? -
CORRECT ANSWER✔✔- Nasal Cannula
A RT is reviewing the electronic health record of a 1 month old infant with
bronchopulmonary dyplasia. The provider orders oxygen at 24% for feedings. Which of the
following should the respiratory therapist select? - CORRECT ANSWER✔✔- Standard nasal
cannula attached to a blender
Compared to adults, the extrathoracici dead space in children is: - CORRECT ANSWER✔✔-
2-3x greater
A 4 year old child is transported to the ED by EMS. The child is receiving supplemental
oxygen by simple mask at 8L/min. Which of the following best describes the FIO2 range this
device is delivering? - CORRECT ANSWER✔✔- 35-60%
A 10 year old is transported to the ED by EMS after being rescued from a housefire. The
child has second and third degree burns to the neck and upper chest. Singed nasal hairs are
noted and soot found in the nares and oropharyngeal area. The child is receiving oxygen by
simple mask at 10L/M. SPO2 upon arrival is 100%. Which of the following should the RT
do? - CORRECT ANSWER✔✔- Switch to a NRM
What is the definition of the heated high flow nasal cannula? - CORRECT ANSWER✔✔- an
oxygen device that provides a flow of heated, humidified gas at flow rates that meet or
exceed the patient's demand.
A term infant with transient tachypnea of the newbron is receiving oxygen via incubator at an
FIO2 of 0.023. The follwoing data is available: RR 50 breaths/min, HR 120 BPM, SPO2 93%
