Neonate Final Exam Questions With Correct Answers 2023 (Graded A+)

Neonate Final Exam Questions With Correct Answers 2023 (Graded A+) What is the maximum a newborn can score APGAR category? - ANSWER 2 APGAR scoring is usually done at what intervals. - ANSWER 1 and 5 minutes When giving surfactant, the neonate should be positioned_________ - ANSWER In a supine, neutral position Following adverse effect of administering surfactant - ANSWER Decrease oxygen saturation Bradycardia Plugging of endotracheal tube The cohesive forces between liquid molecules within the alveoli that cause the lungs to have a tendency to collapse is known as______ - ANSWER Surface tension Which states of lung development continue after birth? - ANSWER Alveolar The earliest development of the lungs begin at_____ - ANSWER 23 days True concerning fetal lung fluid - ANSWER It maintains patency of the airways Which of the following are phase of human lung development? - ANSWER Embryonal Pseudoglandular canalicular saccular Alveolar The diaphragm is formed at which gestation phase of lung development? - ANSWER Embryonic stage What are the minimal development features required for a an immature human fetus to survive outside the uterus? - ANSWER 22-24 weeks gestation Near completion of the cannalicular state of the lung development What is the purpose of the substance secreted by the type II pneumocyte? - ANSWER Reduce surface tension The Respiratory therapist is evaluating a newborn with mild respiratory distress due to tracheal stenosis. During which period of lung development did this problem develop? - ANSWER Embryonal Which of the following embryonic germ layers give formation to the respiratory system? - ANSWER Endoderm Which of the following organs is considered to be the first to form? - ANSWER Heart Which of the following anatomic structures is a (are) fetal shunt(s)? - ANSWER Ductus arteriosus Ductus venosus Foramen ovale Which of following events cause cessation of the right-to-left shunt through the foramen ovale? - ANSWER Increase levels of PO2 in the blood of the neonate. An anatomic shunt connecting intra-abdominal umbilical vein to the IVC at its inlet to the heart is known as - ANSWER Ductus venosus The human placenta: - ANSWER is attached to the maternal uterine wall When is an amniocentesis performed? - ANSWER 16-18 weeks what term is use to indicated the number of times the mother has been pregnant? - ANSWER Gravida What is the term for an umbilical cord that becomes coiled around the fetus's neck? - ANSWER Nuchal cord What is the condition in which there is an increase amount of amniotic fluid? - ANSWER Polyhydramnios What is the condition in which the placenta is implanted abnormally low in the uterus and partially or completely cover the cervix? - ANSWER Placenta previa What is the condition called in which the placenta either partially or completely separates from the uterine wall? - ANSWER Placenta abruption What type of medications given to mothers to reduce contractions, delay delivery for 48 hours? - ANSWER Tocolytics What can be given to the mother to help promote lung growth in thee fetus when the mother is experiencing preterm labor? - ANSWER Magnesium sulfate Which of the following conditions is a significant problem in post term pregnancy? - ANSWER Meconium aspiration Women 41 weeks pregnant is at high risk for complication in the postpartum period. Which of the following agents will be more appropriate to induce labor? - ANSWER Oxytocin Rescue surfactant is administered to: - ANSWER Preterm infants with identifiable respiratory distress syndrome. Benefits of alveolar surfactant include I. lowers surface tension II. decreases airway resistance III. Prevent alveolar collapse IV. increase lung compliance - ANSWER I, III, and IV only Which of the following conditions can precipitate apneic episodes? Use of nasal CPAP? - ANSWER Body temperature fluctuations During the assessment of a 2-day-old infant born at 32 weeks' gestation, the following data are available: Heart rate: 122 beats/minute Respiratory rate: 50 breaths/minute, irregular with frequent periods of apnea lasting 15-25 seconds. SPO2: 86-91% Which of the following should the respiratory therapist recommend? - ANSWER Initiation of nasal CPAP at 6 cm H2O What diagnostic parameter is most often used to confirm the diagnosis of RDS? - ANSWER CXR A respiratory therapist is reviewing the electronic medical record of a laboring mother who is 100% effaced and whose cervix is 6-cm dilated. The results of the L:S was 2.5. The respiratory therapist should conclude: - ANSWER The diagnosis of respiratory distress syndrome is unlikely. Which of the following is a risk factor for meconium aspiration syndrome? - ANSWER Post term delivery Decrease in surfactant levels - ANSWER Causes atelectasis Which of the following best describes the pathophysiologic effects associated with meconium aspiration syndrome? - ANSWER Chemical pneumonitis An infant with persistent pulmonary hypertension is intubated and receiving continuous mechanical ventilatory support. The infant's pre-ductal SPO2 ranges from 95% to 98%. Which of the following should the respiratory therapist recommend? - ANSWER