Neonatal and Pediatric Respiratory Care Exam Test 2..docx

Neonatal and Pediatric Respiratory Care
Exam Test 2.
Stimulate and deliver low-to-moderate O2 concentrations - ANS >> An APGAR score of 5 is determined
B B B B B B B B B B B B B B B


1 minute after delivery of a term infant. Which of the following should be done next?
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a. Stimulate and deliver low-to-moderate O2 concentrations
B B B B B B


b. Intubate and initiate mechanical ventilation
B B B B B


c. Intubate and initiate CPAP and 80% O2
B B B B B B B


d. Initiate nasal CPAP and 100% O2
B B B B B B


Pulmonary hypertension - ANS >> The foramen ovale and ductus arteriosus remain patent in infants
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with persistent fetal circulation as a direct result of which of the following?
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a. Hypocarbia
B


b. Pulmonary hypertension
B B


c. Hyperoxia
B


d. Arterial hypotension
B B


To decrease functional residual capacity - ANS >> Which of the following is not an indication for nasal
B B B B B B B B B B B B B B B B B


CPAP in an infant?
B B B B




a. To increase static lung compliance
B B B B B


b. To decrease functional residual capacity
B B B B B


c. To decrease pulmonary vascular resistance
B B B B B


d. To decrease intrapulmonary shunting
B B B B


2 and 3 only - ANS >> Which of the following are potential complications of an umbilical artery
B B B B B B B B B B B B B B B B B


catheter (UAC)?
B B




1. Pneumothorax
B


2. Thromboembolism
B


3. Infection
B




a. 1 only
B B


b. 2 only
B B


c. 1 and 3 only
B B B B


d. 2 and 3 only
B B B B


1, 2, and 3 only - ANS >> Which of the following may occur as a result of cold stress in an infant?
B B B B B B B B B B B B B B B B B B B B B B




1. Hypoxemia
B


2. Metabolic acidosis
B B

, 3. Hypoglycemia
B


4.Decreased O2 consumption B B




a. 1 and 3 only
B B B B


b. 2 and 4 only
B B B B


c. 1, 2, and 3 only
B B B B B


d. 1, 2, and 4 only
B B B B B


Cystic fibrosis - ANS >> An elevation in the levels of chloride in sweat is diagnostic for which of the
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following lung conditions?
B B B




a. Bronchiolitis
B


b. Cystic fibrosis
B B


c. Hyaline membrane disease
B B B


d. Epiglottitis
B


1 and 3 only - ANS >> A 28-week gestational age neonate is suspected of having a pneumothorax.
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Which of the following should the respiratory therapist recommend to help diagnose if this condition
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is present?
B B




1. Transillumination of the chest
B B B B


2. Transcutaneous PO2 monitoring
B B B


3. Chest radiograph
B B


4. Arterial blood gas
B B B




a. 1 and 3 only
B B B B


b. 1, 2, and 3 only
B B B B B


c. 2, 3, and 4 only
B B B B B


d. 1, 2, 3, and 4
B B B B B


80 mmHg - ANS >> To prevent the development of retinopathy of prematurity in a neonate, the
B B B B B B B B B B B B B B B B


partial pressure of oxygen in arterial blood (PaO2) should not exceed what level?
B B B B B B B B B B B B B




a. 40 mmHg
B B


b. 60 mmHg
B B


c. 80 mmHg
B B


d. 100 mmHg
B B


Persistant pulmonary hypertension of the newborn (PPHN) - ANS >> A pre- and postductal study is
B B B B B B B B B B B B B B B


done on a neonate using two transcutaneous O2 monitors. The transcutaneous oxygen pressure
B B B B B B B B B B B B B


)TcPO2) reads 60 mmHg on the right upper chest and 40 mmHg on the thigh. This is indicative of
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which of the following?
B B B B




a. Bronchopulmonary dysplasia (BPD)
B B B


b. Persistant pulmonary hypertension of the newborn (PPHN)
B B B B B B B


c. Tension pneumothorax
B B