TESTBANK FOR NEONATAL AND PEDIATRIC RESPIRATORY CARE 6TH EDITION BY WALSH/ALL CHAPTERS COMPLETE 1-36

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NEONATAL & PEDIATRICRESPIRAT
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5th Edition, Walsh
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,NeonataluanduPediatricuRespiratoryuCare,u5thuEdition,uBrianuK.uWalshuTestuBank

TableuofuContents
Chapteru1.uFetaluLunguDevelopment
Chapteru2.uFetaluGasuExchangeuanduCirculation
Chapteru3.uAntenataluAssessmentuanduHigh-RiskuDelivery
Chapteru4.uExaminationuanduAssessmentuofutheuNeonataluanduPediatricuPatient
Chapteru5.uPulmonaryuFunctionuTestinguanduBedsideuPulmonaryuMechanics
Chapteru6.uRadiographicuAssessment
Chapteru7.uPediatricuFlexibleuBronchoscopy
Chapteru8.uInvasiveuBlooduGasuAnalysisuanduCardiovascularuMonitoring
Chapteru9.uNoninvasiveuMonitoringuinuNeonataluanduPediatricuCare
Chapteru10.uOxygenuAdministration
Chapteru11.uAerosolsuanduAdministrationuofuInhaleduMedications
Chapteru12.uAirwayuClearanceuTechniquesuanduHyperinflationuTherapy
Chapteru13.uAirwayuManagement
Chapteru14.uSurfactantuReplacementuTherapy
Chapteru15.uNoninvasiveuMechanicaluVentilationuanduContinuousuPositiveuPressureuofutheuNeonate
Chapteru16.uNoninvasiveuMechanicaluVentilationuofutheuInfantuanduChild
Chapteru17.uInvasiveuMechanicaluVentilationuofutheuNeonateuanduPediatricuPatient
Chapteru18.uAdministrationuofuGasuMixtures
Chapteru19.uExtracorporealuMembraneuOxygenation
Chapteru20.uPharmacology
Chapteru21.uThoracicuOrganuTransplantation
Chapteru22.uNeonataluPulmonaryuDisorders
Chapteru23.uSurgicaluDisordersuinuChildhooduthatuAffectuRespiratoryuCare
Chapteru24.uCongenitaluCardiacuDefects
Chapteru25.uPediatricuSleep-DisordereduBreathing
Chapteru26.uPediatricuAirwayuDisordersuanduParenchymaluLunguDiseases
Chapteru27.uAsthma
Chapteru28.uCysticuFibrosis
Chapteru29.uAcuteuRespiratoryuDistressuSyndrome
Chapteru30.uShock
Chapteru31.uPediatricuTrauma
Chapteru32.uDisordersuofutheuPleura
Chapteru33.uNeurologicaluanduNeuromuscularuDisorders
Chapteru34.uPediatricuEmergencies
Chapteru35.uHomeuCareuofutheuPostpartumuFamily
Chapteru36.uQualityuanduSafety

,Chapteru1:uFetaluLunguDevelopment
Walsh:uNeonatalu&uPediatricuRespiratoryuCareu5thuEditionuTestuBanku(2020)

MULTIPLEuCHOICE

1. Whichuofutheufollowinguphasesuofuhumanulungudevelopmentuisucharacterizedubyutheuformationuo
fuaucapillaryunetworkuarounduairwayupassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular

ANS:u D
Theucanalicularuphaseufollowsutheupseudoglandularuphase,ulastingufromuapproximatelyu17uwee
ksutou26uweeksuofugestation.uThisuphaseuisusounamedubecauseuofutheuappearanceuofuvascularuchan
nels,uorucapillaries,uwhichubeginutougrowubyuforminguaucapillaryunetworkuaroundutheuairupassag
es.uDuringutheupseudoglandularustage,uwhichubeginsuatudayu52uanduextendsutouweeku16uofugestat
ion,utheuairwayusystemusubdividesuextensivelyuandutheuconductinguairwayusystemudevelops,uen
dinguwithutheuterminalubronchioles.uTheusaccularustageuofudevelopment,uwhichutakesuplaceufro
muweeksu29utou36uofugestation,uisucharacterizedubyutheudevelopmentuofusacsuthatulaterubecomeual
veoli.uDuringutheusaccularuphase,uautremendousuincreaseuinutheupotentialugas-
uexchangingusurfaceuareauoccurs.uTheudistinctionubetweenutheusaccularustageuandutheualveolarust


ageuisuarbitrary.uTheualveolarustageustretchesufromu39uweeksuofugestationutouterm.uThisustageuisur
epresentedubyutheuestablishmentuofualveoli.

REF:upp.u 3-5

2. Regardingupostnatalulungugrowth,ubyuapproximatelyuwhatuageudoumostuofutheualveoliuthatuwillub
eupresentuinutheulungsuforulifeudevelop?
a. 6umonths
b. 1uyear
c. 1.5uyears
d. 2uyears
ANS:u C
Mostuofutheupostnataluformationuofualveoliuinutheuinfantuoccursuoverutheufirstu1.5uyearsuofulife.uA
tu2uyearsuofuage,utheunumberuofualveoliuvariesusubstantiallyuamonguindividuals.uAfteru2u yearsuofu
age,umalesuhaveumoreualveoliuthanudoufemales.uAfterualveolarumultiplicationuends,utheualveoliu
continueutouincreaseuinusizeuuntiluthoracicugrowthuisucompleted.

REF:u p.u6

3. Theurespiratoryutherapistuisuevaluatinguaunewbornuwithumildurespiratoryudistressudueutoutrachealus
tenosis.uDuringuwhichuperioduofulungudevelopmentudiduthisuproblemudevelop?

, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:u A
Theuinitialustructuresuofutheupulmonaryutreeudevelopuduringutheuembryonalustage.uErrorsuinude
velopmentuduringuthisutimeumayuresultuinularyngeal,utracheal,uoruesophagealuatresiauorustenosis
.uPulmonaryuhypoplasia,uanuincompleteudevelopmentuofutheulungsucharacterizedubyuanuabnorma
llyulowunumberuand/orusizeuofubronchopulmonaryusegmentsuand/orualveoli,ucanudevelopudurin
gutheupseudoglandularuphase.uIfutheufetusuisubornuduringutheucanalicularuphaseu(i.e.,uprematurel
y),usevereurespiratoryudistressucanubeuexpectedubecauseutheuinadequatelyudevelopeduairways,u
alonguwithuinsufficientuanduimmatureusurfactantuproductionubyualveolarutypeuIIucells,ugivesuris
eutoutheuconstellationuofuproblemsuknownuasuinfanturespiratoryudistressusyndrome.

REF:uuup.u6

4. Whichuofutheufollowingumechanismsuisu(are)uresponsibleuforutheupossibleuassociationubetweenuo
ligohydramniosuandulunguhypoplasia?

I. Abnormalucarbohydrateumetabolism
II. Mechanicalurestrictionuofutheuchestuwall
III. Interferenceuwithufetalubreathing
IV. Failureutouproduceufetalulunguliquid
a. Iuandu IIIuonly
b. IIuandu IIIuonly
c. I,uII,uandu IVuonly
d. II,u III,uandu IVuonly

ANS:u D
Oligohydramnios,uaureduceduquantityuofuamnioticufluidupresentuforuanuextendeduperioduofutime,u
withuoruwithouturenaluanomalies,uisuassociateduwithulunguhypoplasia.uTheumechanismsubyuwhic
huamnioticufluiduvolumeuinfluencesulungugrowthuremainuunclear.uPossibleuexplanationsuforureduc
eduquantityuofuamnioticufluiduincludeumechanicalurestrictionuofutheuchestuwall,uinterferenceuwith
ufetalubreathing,uorufailureutouproduceufetalulunguliquid.uTheseuclinicaluanduexperimentaluobserva


tionsupossiblyupointutouaucommonudenominator,ulungustretch,uasubeinguaumajorugrowthustimulant
.

REF:upp.u6-7

5. Whatuisutheupurposeuofutheusubstanceusecretedubyutheutypeu IIupneumocyte?
a. Touincreaseutheugasuexchangeusurfaceuarea
b. Toureduceusurfaceutension
c. Toumaintainulunguelasticity
d. Toupreserveutheuvolumeuofutheuamnioticufluid