TESTBANK u
y
NEONATAL & PEDIATRIC RESPI
yu yu yu
RATORY CARE yu
5th Edition, Walsh
y u
yu
TESTBANK u
y
,Neonatal and Pediatric Respiratory Care, 5th Edition, Brian K. Walsh Test Bank
yu yu yu yu yu yu yu yu yu yu yu
Table of Contents
yu yu
Chapter 1. Fetal Lung Development
yu yu yu yu
Chapter 2. Fetal Gas Exchange and Circulation
yu yu yu yu yu yu
Chapter 3. Antenatal Assessment and High-Risk Delivery
yu yu yu yu yu yu
Chapter 4. Examination and Assessment of the Neonatal and Pediatric Patient
yu yu yu yu yu yu yu yu yu yu
Chapter 5. Pulmonary Function Testing and Bedside Pulmonary Mechanics
yu yu yu yu yu yu yu yu
Chapter 6. Radiographic Assessment
yu yu yu
Chapter 7. Pediatric Flexible Bronchoscopy
yu yu yu yu
Chapter 8. Invasive Blood Gas Analysis and Cardiovascular Monitoring
yu yu yu yu yu yu yu yu
Chapter 9. Noninvasive Monitoring in Neonatal and Pediatric Care
yu yu yu yu yu yu yu yu
Chapter 10. Oxygen Administration
yu yu yu
Chapter 11. Aerosols and Administration of Inhaled Medications
yu yu yu yu yu yu yu
Chapter 12. Airway Clearance Techniques and Hyperinflation Therapy
yu yu yu yu yu yu yu
Chapter 13. Airway Management
yu yu yu
Chapter 14. Surfactant Replacement Therapy
yu yu yu yu
Chapter 15. Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate
yu yu yu yu yu yu yu yu yu yu yu
Chapter 16. Noninvasive Mechanical Ventilation of the Infant and Child
yu yu yu yu yu yu yu yu yu
Chapter 17. Invasive Mechanical Ventilation of the Neonate and Pediatric Patient
yu yu yu yu yu yu yu yu yu yu
Chapter 18. Administration of Gas Mixtures
yu yu yu yu yu
Chapter 19. Extracorporeal Membrane Oxygenation
yu yu yu yu
Chapter 20. Pharmacology
yu yu
Chapter 21. Thoracic Organ Transplantation
yu yu yu yu
Chapter 22. Neonatal Pulmonary Disorders
yu yu yu yu
Chapter 23. Surgical Disorders in Childhood that Affect Respiratory Care
yu yu yu yu yu yu yu yu yu
Chapter 24. Congenital Cardiac Defects
yu yu yu yu
Chapter 25. Pediatric Sleep-Disordered Breathing
yu yu yu yu
Chapter 26. Pediatric Airway Disorders and Parenchymal Lung Diseases
yu yu yu yu yu yu yu yu
Chapter 27. Asthma
yu yu
Chapter 28. Cystic Fibrosis
yu yu yu
Chapter 29. Acute Respiratory Distress Syndrome
yu yu yu yu yu
Chapter 30. Shock
yu yu
Chapter 31. Pediatric Trauma
yu yu yu
Chapter 32. Disorders of the Pleura
yu yu yu yu yu
Chapter 33. Neurological and Neuromuscular Disorders
yu yu yu yu yu
Chapter 34. Pediatric Emergencies
yu yu yu
Chapter 35. Home Care of the Postpartum Family
yu yu yu yu yu yu yu
Chapter 36. Quality and Safety
yu yu yu yu
,Chapter 1: Fetal Lung Development
yu yu yu yu
Walsh: Neonatal & Pediatric Respiratory Care 5th Edition Test Bank (2020)
yu yu yu yu yu yu yu yu yu yu
MULTIPLE CHOICE yu
1. Which of the following phases of human lung development is characterized by the formati
yu yu yu yu yu yu yu yu yu yu yu yu yu
on of a capillary network around airway passages?
yu yu yu yu yu yu yu
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS: D yu
The canalicular phase follows the pseudoglandular phase, lasting from approximately 17 w
yu yu yu yu yu yu yu yu yu yu yu
eeks to 26 weeks of gestation. This phase is so named because of the appearance of vascular
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
channels, or capillaries, which begin to grow by forming a capillary network around the a
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ir passages. During the pseudoglandular stage, which begins at day 52 and extends to wee
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
k 16 of gestation, the airway system subdivides extensively and the conducting airway sys
yu yu yu yu yu yu yu yu yu yu yu yu yu
tem develops, ending with the terminal bronchioles. The saccular stage of development, w
yu yu yu yu yu yu yu yu yu yu yu yu
hich takes place from weeks 29 to 36 of gestation, is characterized by the development of s
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
acs that later become alveoli. During the saccular phase, a tremendous increase in the pote
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ntial gas- yu
exchanging surface area occurs. The distinction between the saccular stage and the alveol
yu yu yu yu yu yu yu yu yu yu yu yu yu
ar stage is arbitrary. The alveolar stage stretches from 39 weeks of gestation to term. This
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stage is represented by the establishment of alveoli.
yu yu yu yu yu yu yu
REF: pp. 3-5 yu y u
2. Regarding postnatal lung growth, by approximately what age do most of the alveoli that w
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ill be present in the lungs for life develop?
yu yu yu yu yu yu yu yu
a. 6 months yu
b. 1 year yu
c. 1.5 years yu
d. 2 years yu
ANS: C yu
Most of the postnatal formation of alveoli in the infant occurs over the first 1.5 years of li
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
fe. At 2 years of age, the number of alveoli varies substantially among individuals. After 2 y
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ears of age, males have more alveoli than do females. After alveolar multiplication ends, t
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
he alveoli continue to increase in size until thoracic growth is completed.
yu yu yu yu yu yu yu yu yu yu yu
REF: p. 6 yu yu
3. The respiratory therapist is evaluating a newborn with mild respiratory distress due to trache
yu yu yu yu yu yu yu yu yu yu yu yu yu
al stenosis. During which period of lung development did this problem develop?
yu yu yu yu yu yu yu yu yu yu yu
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS: A yu
The initial structures of the pulmonary tree develop during the embryonal stage. Errors in
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
development during this time may result in laryngeal, tracheal, or esophageal atresia or ste
yu yu yu yu yu yu yu yu yu yu yu yu yu
nosis. Pulmonary hypoplasia, an incomplete development of the lungs characterized by an ab
yu yu yu yu yu yu yu yu yu yu yu yu
normally low number and/or size of bronchopulmonary segments and/or alveoli, can devel
yu yu yu yu yu yu yu yu yu yu yu
op during the pseudoglandular phase. If the fetus is born during the canalicular phase (i.e.,
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
prematurely), severe respiratory distress can be expected because the inadequately develo
yu yu yu yu yu yu yu yu yu yu yu
ped airways, along with insufficient and immature surfactant production by alveolar type I
yu yu yu yu yu yu yu yu yu yu yu yu
I cells, gives rise to the constellation of problems known as infant respiratory distress syn
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
drome.
REF: yuyu p. 6 yu
4. Which of the following mechanisms is (are) responsible for the possible association betwee
yu yu yu yu yu yu yu yu yu yu yu yu
n oligohydramnios and lung hypoplasia?
yu yu yu yu
I. Abnormal carbohydrate metabolism yu yu
II. Mechanical restriction of the chest wall yu yu yu yu yu
III. Interference with fetal breathing yu yu yu
IV. Failure to produce fetal lung liquid yu yu yu yu yu
a. I and III onlyyu yu yu
b. II and III only yu yu yu
c. I, II, and IV onlyyu yu yu yu
d. II, III, and IV only yu yu yu yu
ANS: D yu
Oligohydramnios, a reduced quantity of amniotic fluid present for an extended period of tim
yu yu yu yu yu yu yu yu yu yu yu yu yu
e, with or without renal anomalies, is associated with lung hypoplasia. The mechanisms by
yu yu yu yu yu yu yu yu yu yu yu yu yu y
which amniotic fluid volume influences lung growth remain unclear. Possible explanations f
u yu yu yu yu yu yu yu yu yu yu yu
or reduced quantity of amniotic fluid include mechanical restriction of the chest wall, interf
yu yu yu yu yu yu yu yu yu yu yu yu yu
erence with fetal breathing, or failure to produce fetal lung liquid. These clinical and experi
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
mental observations possibly point to a common denominator, lung stretch, as being a maj
yu yu yu yu yu yu yu yu yu yu yu yu yu
or growth stimulant.
yu yu
REF: pp. 6-7 yu yu
5. What is the purpose of the substance secreted by the type II pneumocyte?
yu yu yu yu yu yu yu yu yu yu yu yu
a. To increase the gas exchange surface area
yu yu yu yu yu yu
b. To reduce surface tension
yu yu yu
c. To maintain lung elasticity
yu yu yu
d. To preserve the volume of the amniotic fluid
yu yu yu yu yu yu yu
y
NEONATAL & PEDIATRIC RESPI
yu yu yu
RATORY CARE yu
5th Edition, Walsh
y u
yu
TESTBANK u
y
,Neonatal and Pediatric Respiratory Care, 5th Edition, Brian K. Walsh Test Bank
yu yu yu yu yu yu yu yu yu yu yu
Table of Contents
yu yu
Chapter 1. Fetal Lung Development
yu yu yu yu
Chapter 2. Fetal Gas Exchange and Circulation
yu yu yu yu yu yu
Chapter 3. Antenatal Assessment and High-Risk Delivery
yu yu yu yu yu yu
Chapter 4. Examination and Assessment of the Neonatal and Pediatric Patient
yu yu yu yu yu yu yu yu yu yu
Chapter 5. Pulmonary Function Testing and Bedside Pulmonary Mechanics
yu yu yu yu yu yu yu yu
Chapter 6. Radiographic Assessment
yu yu yu
Chapter 7. Pediatric Flexible Bronchoscopy
yu yu yu yu
Chapter 8. Invasive Blood Gas Analysis and Cardiovascular Monitoring
yu yu yu yu yu yu yu yu
Chapter 9. Noninvasive Monitoring in Neonatal and Pediatric Care
yu yu yu yu yu yu yu yu
Chapter 10. Oxygen Administration
yu yu yu
Chapter 11. Aerosols and Administration of Inhaled Medications
yu yu yu yu yu yu yu
Chapter 12. Airway Clearance Techniques and Hyperinflation Therapy
yu yu yu yu yu yu yu
Chapter 13. Airway Management
yu yu yu
Chapter 14. Surfactant Replacement Therapy
yu yu yu yu
Chapter 15. Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate
yu yu yu yu yu yu yu yu yu yu yu
Chapter 16. Noninvasive Mechanical Ventilation of the Infant and Child
yu yu yu yu yu yu yu yu yu
Chapter 17. Invasive Mechanical Ventilation of the Neonate and Pediatric Patient
yu yu yu yu yu yu yu yu yu yu
Chapter 18. Administration of Gas Mixtures
yu yu yu yu yu
Chapter 19. Extracorporeal Membrane Oxygenation
yu yu yu yu
Chapter 20. Pharmacology
yu yu
Chapter 21. Thoracic Organ Transplantation
yu yu yu yu
Chapter 22. Neonatal Pulmonary Disorders
yu yu yu yu
Chapter 23. Surgical Disorders in Childhood that Affect Respiratory Care
yu yu yu yu yu yu yu yu yu
Chapter 24. Congenital Cardiac Defects
yu yu yu yu
Chapter 25. Pediatric Sleep-Disordered Breathing
yu yu yu yu
Chapter 26. Pediatric Airway Disorders and Parenchymal Lung Diseases
yu yu yu yu yu yu yu yu
Chapter 27. Asthma
yu yu
Chapter 28. Cystic Fibrosis
yu yu yu
Chapter 29. Acute Respiratory Distress Syndrome
yu yu yu yu yu
Chapter 30. Shock
yu yu
Chapter 31. Pediatric Trauma
yu yu yu
Chapter 32. Disorders of the Pleura
yu yu yu yu yu
Chapter 33. Neurological and Neuromuscular Disorders
yu yu yu yu yu
Chapter 34. Pediatric Emergencies
yu yu yu
Chapter 35. Home Care of the Postpartum Family
yu yu yu yu yu yu yu
Chapter 36. Quality and Safety
yu yu yu yu
,Chapter 1: Fetal Lung Development
yu yu yu yu
Walsh: Neonatal & Pediatric Respiratory Care 5th Edition Test Bank (2020)
yu yu yu yu yu yu yu yu yu yu
MULTIPLE CHOICE yu
1. Which of the following phases of human lung development is characterized by the formati
yu yu yu yu yu yu yu yu yu yu yu yu yu
on of a capillary network around airway passages?
yu yu yu yu yu yu yu
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS: D yu
The canalicular phase follows the pseudoglandular phase, lasting from approximately 17 w
yu yu yu yu yu yu yu yu yu yu yu
eeks to 26 weeks of gestation. This phase is so named because of the appearance of vascular
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
channels, or capillaries, which begin to grow by forming a capillary network around the a
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ir passages. During the pseudoglandular stage, which begins at day 52 and extends to wee
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
k 16 of gestation, the airway system subdivides extensively and the conducting airway sys
yu yu yu yu yu yu yu yu yu yu yu yu yu
tem develops, ending with the terminal bronchioles. The saccular stage of development, w
yu yu yu yu yu yu yu yu yu yu yu yu
hich takes place from weeks 29 to 36 of gestation, is characterized by the development of s
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
acs that later become alveoli. During the saccular phase, a tremendous increase in the pote
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ntial gas- yu
exchanging surface area occurs. The distinction between the saccular stage and the alveol
yu yu yu yu yu yu yu yu yu yu yu yu yu
ar stage is arbitrary. The alveolar stage stretches from 39 weeks of gestation to term. This
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
stage is represented by the establishment of alveoli.
yu yu yu yu yu yu yu
REF: pp. 3-5 yu y u
2. Regarding postnatal lung growth, by approximately what age do most of the alveoli that w
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ill be present in the lungs for life develop?
yu yu yu yu yu yu yu yu
a. 6 months yu
b. 1 year yu
c. 1.5 years yu
d. 2 years yu
ANS: C yu
Most of the postnatal formation of alveoli in the infant occurs over the first 1.5 years of li
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
fe. At 2 years of age, the number of alveoli varies substantially among individuals. After 2 y
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ears of age, males have more alveoli than do females. After alveolar multiplication ends, t
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
he alveoli continue to increase in size until thoracic growth is completed.
yu yu yu yu yu yu yu yu yu yu yu
REF: p. 6 yu yu
3. The respiratory therapist is evaluating a newborn with mild respiratory distress due to trache
yu yu yu yu yu yu yu yu yu yu yu yu yu
al stenosis. During which period of lung development did this problem develop?
yu yu yu yu yu yu yu yu yu yu yu
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS: A yu
The initial structures of the pulmonary tree develop during the embryonal stage. Errors in
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
development during this time may result in laryngeal, tracheal, or esophageal atresia or ste
yu yu yu yu yu yu yu yu yu yu yu yu yu
nosis. Pulmonary hypoplasia, an incomplete development of the lungs characterized by an ab
yu yu yu yu yu yu yu yu yu yu yu yu
normally low number and/or size of bronchopulmonary segments and/or alveoli, can devel
yu yu yu yu yu yu yu yu yu yu yu
op during the pseudoglandular phase. If the fetus is born during the canalicular phase (i.e.,
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
prematurely), severe respiratory distress can be expected because the inadequately develo
yu yu yu yu yu yu yu yu yu yu yu
ped airways, along with insufficient and immature surfactant production by alveolar type I
yu yu yu yu yu yu yu yu yu yu yu yu
I cells, gives rise to the constellation of problems known as infant respiratory distress syn
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
drome.
REF: yuyu p. 6 yu
4. Which of the following mechanisms is (are) responsible for the possible association betwee
yu yu yu yu yu yu yu yu yu yu yu yu
n oligohydramnios and lung hypoplasia?
yu yu yu yu
I. Abnormal carbohydrate metabolism yu yu
II. Mechanical restriction of the chest wall yu yu yu yu yu
III. Interference with fetal breathing yu yu yu
IV. Failure to produce fetal lung liquid yu yu yu yu yu
a. I and III onlyyu yu yu
b. II and III only yu yu yu
c. I, II, and IV onlyyu yu yu yu
d. II, III, and IV only yu yu yu yu
ANS: D yu
Oligohydramnios, a reduced quantity of amniotic fluid present for an extended period of tim
yu yu yu yu yu yu yu yu yu yu yu yu yu
e, with or without renal anomalies, is associated with lung hypoplasia. The mechanisms by
yu yu yu yu yu yu yu yu yu yu yu yu yu y
which amniotic fluid volume influences lung growth remain unclear. Possible explanations f
u yu yu yu yu yu yu yu yu yu yu yu
or reduced quantity of amniotic fluid include mechanical restriction of the chest wall, interf
yu yu yu yu yu yu yu yu yu yu yu yu yu
erence with fetal breathing, or failure to produce fetal lung liquid. These clinical and experi
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
mental observations possibly point to a common denominator, lung stretch, as being a maj
yu yu yu yu yu yu yu yu yu yu yu yu yu
or growth stimulant.
yu yu
REF: pp. 6-7 yu yu
5. What is the purpose of the substance secreted by the type II pneumocyte?
yu yu yu yu yu yu yu yu yu yu yu yu
a. To increase the gas exchange surface area
yu yu yu yu yu yu
b. To reduce surface tension
yu yu yu
c. To maintain lung elasticity
yu yu yu
d. To preserve the volume of the amniotic fluid
yu yu yu yu yu yu yu
