TEST BANK d5
NEONATAL & PEDIATRIC RESPIRATO
d5 d5 d5d5
RY CARE d5
5th Edition, Walsh
d5 d5
TEST BANK d 5
,Neonatald5andd5Pediatricd5Respiratoryd5Care,d55thd5Edition,d5Briand5K.d5Walshd5Testd5Bank
Tabled5ofd5Contents
Chapterd51.d5Fetald5Lungd5Development
Chapterd52.d5Fetald5Gasd5Exchanged5andd5Circulation
Chapterd53.d5Antenatald5Assessmentd5andd5High-Riskd5Delivery
Chapterd54.d5Examinationd5andd5Assessmentd5ofd5thed5Neonatald5andd5Pediatricd5Patient
Chapterd55.d5Pulmonaryd5Functiond5Testingd5andd5Bedsided5Pulmonaryd5Mechanics
Chapterd56.d5Radiographicd5Assessment
Chapterd57.d5Pediatricd5Flexibled5Bronchoscopy
Chapterd58.d5Invasived5Bloodd5Gasd5Analysisd5andd5Cardiovasculard5Monitoring
Chapterd59.d5Noninvasived5Monitoringd5ind5Neonatald5andd5Pediatricd5Care
Chapterd510.d5Oxygend5Administration
Chapterd511.d5Aerosolsd5andd5Administrationd5ofd5Inhaledd5Medications
Chapterd512.d5Airwayd5Clearanced5Techniquesd5andd5Hyperinflationd5Therapy
Chapterd513.d5Airwayd5Management
Chapterd514.d5Surfactantd5Replacementd5Therapy
Chapterd515.d5Noninvasived5Mechanicald5Ventilationd5andd5Continuousd5Positived5Pressured5ofd5thed5N
eonate
Chapterd516.d5Noninvasived5Mechanicald5Ventilationd5ofd5thed5Infantd5andd5Child
Chapterd517.d5Invasived5Mechanicald5Ventilationd5ofd5thed5Neonated5andd5Pediatricd5Patient
Chapterd518.d5Administrationd5ofd5Gasd5Mixtures
Chapterd519.d5Extracorporeald5Membraned5Oxygenation
Chapterd520.d5Pharmacology
Chapterd521.d5Thoracicd5Organd5Transplantation
Chapterd522.d5Neonatald5Pulmonaryd5Disorders
Chapterd523.d5Surgicald5Disordersd5ind5Childhoodd5thatd5Affectd5Respiratoryd5Care
Chapterd524.d5Congenitald5Cardiacd5Defects
Chapterd525.d5Pediatricd5Sleep-Disorderedd5Breathing
Chapterd526.d5Pediatricd5Airwayd5Disordersd5andd5Parenchymald5Lungd5Diseases
Chapterd527.d5Asthma
Chapterd528.d5Cysticd5Fibrosis
Chapterd529.d5Acuted5Respiratoryd5Distressd5Syndrome
Chapterd530.d5Shock
Chapterd531.d5Pediatricd5Trauma
Chapterd532.d5Disordersd5ofd5thed5Pleura
Chapterd533.d5Neurologicald5andd5Neuromusculard5Disorders
Chapterd534.d5Pediatricd5Emergencies
Chapterd535.d5Homed5Cared5ofd5thed5Postpartumd5Family
Chapterd536.d5Qualityd5andd5Safety
,Chapterd51:d5Fetald5Lungd5Development
Walsh:d5Neonatald5&d5Pediatricd5Respiratoryd5Cared55thd5Editiond5Testd5Bankd5(2020)
MULTIPLEd5CHOICE
1. Whichd5ofd5thed5followingd5phasesd5ofd5humand5lungd5developmentd5isd5characterizedd5byd5thed5
formationd5ofd5ad5capillaryd5networkd5aroundd5airwayd5passages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:d 5 D
Thed5canaliculard5phased5followsd5thed5pseudoglandulard5phase,d5lastingd5fromd5approximately
d517d5weeksd5tod526d5weeksd5ofd5gestation.d5Thisd5phased5isd5sod5namedd5becaused5ofd5thed5appeara
nced5ofd5vasculard5channels,d5ord5capillaries,d5whichd5begind5tod5growd5byd5formingd5ad5capillar
yd5networkd5aroundd5thed5aird5passages.d5Duringd5thed5pseudoglandulard5stage,d5whichd5beginsd
5atd5dayd552d5andd5extendsd5tod5weekd516d5ofd5gestation,d5thed5airwayd5systemd5subdividesd5ext
ensivelyd5andd5thed5conductingd5airwayd5systemd5develops,d5endingd5withd5thed5terminald5bron
chioles.d5Thed5sacculard5staged5ofd5development,d5whichd5takesd5placed5fromd5weeksd529d5tod53
6d5ofd5gestation,d5isd5characterizedd5byd5thed5developmentd5ofd5sacsd5thatd5laterd5becomed5alveoli
.d5Duringd5thed5sacculard5phase,d5ad5tremendousd5increased5ind5thed5potentiald5gas-
d5exchangingd5surfaced5aread5occurs.d5Thed5distinctiond5betweend5thed5sacculard5staged5andd5th
ed5alveolard5staged5isd5arbitrary.d5Thed5alveolard5staged5stretchesd5fromd539d5weeksd5ofd5gestatio
nd5tod5term.d5Thisd5staged5isd5representedd5byd5thed5establishmentd5ofd5alveoli.
REF:d5pp.d 5 3-5
2. Regardingd5postnatald5lungd5growth,d5byd5approximatelyd5whatd5aged5dod5mostd5ofd5thed5alveoli
d5thatd5willd5bed5presentd5ind5thed5lungsd5ford5lifed5develop?
a. 6d5months
b. 1d5 year
c. 1.5d5years
d. 2d5 years
ANS:d 5 C
Mostd5ofd5thed5postnatald5formationd5ofd5alveolid5ind5thed5infantd5occursd5overd5thed5firstd51.5d5ye
arsd5ofd5life.d5Atd52d5yearsd5ofd5age,d5thed5numberd5ofd5alveolid5variesd5substantiallyd5amongd5indi
viduals.d5Afterd52d5yearsd5ofd5age,d5malesd5haved5mored5alveolid5thand5dod5females.d5Afterd5alve
olard5multiplicationd5ends,d5thed5alveolid5continued5tod5increased5ind5sized5untild5thoracicd5grow
thd5isd5completed.
REF:d5 p.d56
3. Thed5respiratoryd5therapistd5isd5evaluatingd5ad5newbornd5withd5mildd5respiratoryd5distressd5dued5to
tracheald5stenosis.d5Duringd5whichd5periodd5ofd5lungd5developmentd5didd5thisd5problemd5devel
d5
op?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:d 5 A
Thed5initiald5structuresd5ofd5thed5pulmonaryd5treed5developd5duringd5thed5embryonald5stage.d5Er
rorsd5ind5developmentd5duringd5thisd5timed5mayd5resultd5ind5laryngeal,d5tracheal,d5ord5esophage
ald5atresiad5ord5stenosis.d5Pulmonaryd5hypoplasia,d5and5incompleted5developmentd5ofd5thed5lungsd
5characterizedd5byd5and5abnormallyd5lowd5numberd5and/ord5sized5ofd5bronchopulmonaryd5segme
ntsd5and/ord5alveoli,d5cand5developd5duringd5thed5pseudoglandulard5phase.d5Ifd5thed5fetusd5isd5bo
rnd5duringd5thed5canaliculard5phased5(i.e.,d5prematurely),d5severed5respiratoryd5distressd5cand5be
d5expectedd5becaused5thed5inadequatelyd5developedd5airways,d5alongd5withd5insufficientd5andd5i
mmatured5surfactantd5productiond5byd5alveolard5typed5IId5cells,d5givesd5rised5tod5thed5constellati
ond5ofd5problemsd5knownd5asd5infantd5respiratoryd5distressd5syndrome.
REF:d 5 d 5 p.d56
4. Whichd5ofd5thed5followingd5mechanismsd5isd5(are)d5responsibled5ford5thed5possibled5associationd5
betweend5oligohydramniosd5andd5lungd5hypoplasia?
I. Abnormald5carbohydrated5metabolism
II. Mechanicald5restrictiond5ofd5thed5chestd5wall
III. Interferenced5withd5fetald5breathing
IV. Failured5tod5produced5fetald5lungd5liquid
a. Id5andd5 IIId5only
b. IId5andd5 IIId5only
c. I,d5II,d5andd5 IVd5only
d. II,d5III,d5andd5IVd5only
ANS:d 5 D
Oligohydramnios,d5ad5reducedd5quantityd5ofd5amnioticd5fluidd5presentd5ford5and5extendedd5periodd
5ofd5time,d5withd5ord5withoutd5renald5anomalies,d5isd5associatedd5withd5lungd5hypoplasia.d5Thed5
mechanismsd5byd5whichd5amnioticd5fluidd5volumed5influencesd5lungd5growthd5remaind5unclear.d5P
ossibled5explanationsd5ford5reducedd5quantityd5ofd5amnioticd5fluidd5included5mechanicald5restrict
iond5ofd5thed5chestd5wall,d5interferenced5withd5fetald5breathing,d5ord5failured5tod5produced5fetald5l
ungd5liquid.d5Thesed5clinicald5andd5experimentald5observationsd5possiblyd5pointd5tod5ad5common
d5denominator,d5lungd5stretch,d5asd5beingd5ad5majord5growthd5stimulant.
REF:d5pp.d56-7
5. Whatd5isd5thed5purposed5ofd5thed5substanced5secretedd5byd5thed5typed5 IId5pneumocyte?
a. Tod5increased5thed5gasd5exchanged5surfaced5area
b. Tod5reduced5surfaced5tension
c. Tod5maintaind5lungd5elasticity
d. Tod5preserved5thed5volumed5ofd5thed5amnioticd5fluid
NEONATAL & PEDIATRIC RESPIRATO
d5 d5 d5d5
RY CARE d5
5th Edition, Walsh
d5 d5
TEST BANK d 5
,Neonatald5andd5Pediatricd5Respiratoryd5Care,d55thd5Edition,d5Briand5K.d5Walshd5Testd5Bank
Tabled5ofd5Contents
Chapterd51.d5Fetald5Lungd5Development
Chapterd52.d5Fetald5Gasd5Exchanged5andd5Circulation
Chapterd53.d5Antenatald5Assessmentd5andd5High-Riskd5Delivery
Chapterd54.d5Examinationd5andd5Assessmentd5ofd5thed5Neonatald5andd5Pediatricd5Patient
Chapterd55.d5Pulmonaryd5Functiond5Testingd5andd5Bedsided5Pulmonaryd5Mechanics
Chapterd56.d5Radiographicd5Assessment
Chapterd57.d5Pediatricd5Flexibled5Bronchoscopy
Chapterd58.d5Invasived5Bloodd5Gasd5Analysisd5andd5Cardiovasculard5Monitoring
Chapterd59.d5Noninvasived5Monitoringd5ind5Neonatald5andd5Pediatricd5Care
Chapterd510.d5Oxygend5Administration
Chapterd511.d5Aerosolsd5andd5Administrationd5ofd5Inhaledd5Medications
Chapterd512.d5Airwayd5Clearanced5Techniquesd5andd5Hyperinflationd5Therapy
Chapterd513.d5Airwayd5Management
Chapterd514.d5Surfactantd5Replacementd5Therapy
Chapterd515.d5Noninvasived5Mechanicald5Ventilationd5andd5Continuousd5Positived5Pressured5ofd5thed5N
eonate
Chapterd516.d5Noninvasived5Mechanicald5Ventilationd5ofd5thed5Infantd5andd5Child
Chapterd517.d5Invasived5Mechanicald5Ventilationd5ofd5thed5Neonated5andd5Pediatricd5Patient
Chapterd518.d5Administrationd5ofd5Gasd5Mixtures
Chapterd519.d5Extracorporeald5Membraned5Oxygenation
Chapterd520.d5Pharmacology
Chapterd521.d5Thoracicd5Organd5Transplantation
Chapterd522.d5Neonatald5Pulmonaryd5Disorders
Chapterd523.d5Surgicald5Disordersd5ind5Childhoodd5thatd5Affectd5Respiratoryd5Care
Chapterd524.d5Congenitald5Cardiacd5Defects
Chapterd525.d5Pediatricd5Sleep-Disorderedd5Breathing
Chapterd526.d5Pediatricd5Airwayd5Disordersd5andd5Parenchymald5Lungd5Diseases
Chapterd527.d5Asthma
Chapterd528.d5Cysticd5Fibrosis
Chapterd529.d5Acuted5Respiratoryd5Distressd5Syndrome
Chapterd530.d5Shock
Chapterd531.d5Pediatricd5Trauma
Chapterd532.d5Disordersd5ofd5thed5Pleura
Chapterd533.d5Neurologicald5andd5Neuromusculard5Disorders
Chapterd534.d5Pediatricd5Emergencies
Chapterd535.d5Homed5Cared5ofd5thed5Postpartumd5Family
Chapterd536.d5Qualityd5andd5Safety
,Chapterd51:d5Fetald5Lungd5Development
Walsh:d5Neonatald5&d5Pediatricd5Respiratoryd5Cared55thd5Editiond5Testd5Bankd5(2020)
MULTIPLEd5CHOICE
1. Whichd5ofd5thed5followingd5phasesd5ofd5humand5lungd5developmentd5isd5characterizedd5byd5thed5
formationd5ofd5ad5capillaryd5networkd5aroundd5airwayd5passages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:d 5 D
Thed5canaliculard5phased5followsd5thed5pseudoglandulard5phase,d5lastingd5fromd5approximately
d517d5weeksd5tod526d5weeksd5ofd5gestation.d5Thisd5phased5isd5sod5namedd5becaused5ofd5thed5appeara
nced5ofd5vasculard5channels,d5ord5capillaries,d5whichd5begind5tod5growd5byd5formingd5ad5capillar
yd5networkd5aroundd5thed5aird5passages.d5Duringd5thed5pseudoglandulard5stage,d5whichd5beginsd
5atd5dayd552d5andd5extendsd5tod5weekd516d5ofd5gestation,d5thed5airwayd5systemd5subdividesd5ext
ensivelyd5andd5thed5conductingd5airwayd5systemd5develops,d5endingd5withd5thed5terminald5bron
chioles.d5Thed5sacculard5staged5ofd5development,d5whichd5takesd5placed5fromd5weeksd529d5tod53
6d5ofd5gestation,d5isd5characterizedd5byd5thed5developmentd5ofd5sacsd5thatd5laterd5becomed5alveoli
.d5Duringd5thed5sacculard5phase,d5ad5tremendousd5increased5ind5thed5potentiald5gas-
d5exchangingd5surfaced5aread5occurs.d5Thed5distinctiond5betweend5thed5sacculard5staged5andd5th
ed5alveolard5staged5isd5arbitrary.d5Thed5alveolard5staged5stretchesd5fromd539d5weeksd5ofd5gestatio
nd5tod5term.d5Thisd5staged5isd5representedd5byd5thed5establishmentd5ofd5alveoli.
REF:d5pp.d 5 3-5
2. Regardingd5postnatald5lungd5growth,d5byd5approximatelyd5whatd5aged5dod5mostd5ofd5thed5alveoli
d5thatd5willd5bed5presentd5ind5thed5lungsd5ford5lifed5develop?
a. 6d5months
b. 1d5 year
c. 1.5d5years
d. 2d5 years
ANS:d 5 C
Mostd5ofd5thed5postnatald5formationd5ofd5alveolid5ind5thed5infantd5occursd5overd5thed5firstd51.5d5ye
arsd5ofd5life.d5Atd52d5yearsd5ofd5age,d5thed5numberd5ofd5alveolid5variesd5substantiallyd5amongd5indi
viduals.d5Afterd52d5yearsd5ofd5age,d5malesd5haved5mored5alveolid5thand5dod5females.d5Afterd5alve
olard5multiplicationd5ends,d5thed5alveolid5continued5tod5increased5ind5sized5untild5thoracicd5grow
thd5isd5completed.
REF:d5 p.d56
3. Thed5respiratoryd5therapistd5isd5evaluatingd5ad5newbornd5withd5mildd5respiratoryd5distressd5dued5to
tracheald5stenosis.d5Duringd5whichd5periodd5ofd5lungd5developmentd5didd5thisd5problemd5devel
d5
op?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:d 5 A
Thed5initiald5structuresd5ofd5thed5pulmonaryd5treed5developd5duringd5thed5embryonald5stage.d5Er
rorsd5ind5developmentd5duringd5thisd5timed5mayd5resultd5ind5laryngeal,d5tracheal,d5ord5esophage
ald5atresiad5ord5stenosis.d5Pulmonaryd5hypoplasia,d5and5incompleted5developmentd5ofd5thed5lungsd
5characterizedd5byd5and5abnormallyd5lowd5numberd5and/ord5sized5ofd5bronchopulmonaryd5segme
ntsd5and/ord5alveoli,d5cand5developd5duringd5thed5pseudoglandulard5phase.d5Ifd5thed5fetusd5isd5bo
rnd5duringd5thed5canaliculard5phased5(i.e.,d5prematurely),d5severed5respiratoryd5distressd5cand5be
d5expectedd5becaused5thed5inadequatelyd5developedd5airways,d5alongd5withd5insufficientd5andd5i
mmatured5surfactantd5productiond5byd5alveolard5typed5IId5cells,d5givesd5rised5tod5thed5constellati
ond5ofd5problemsd5knownd5asd5infantd5respiratoryd5distressd5syndrome.
REF:d 5 d 5 p.d56
4. Whichd5ofd5thed5followingd5mechanismsd5isd5(are)d5responsibled5ford5thed5possibled5associationd5
betweend5oligohydramniosd5andd5lungd5hypoplasia?
I. Abnormald5carbohydrated5metabolism
II. Mechanicald5restrictiond5ofd5thed5chestd5wall
III. Interferenced5withd5fetald5breathing
IV. Failured5tod5produced5fetald5lungd5liquid
a. Id5andd5 IIId5only
b. IId5andd5 IIId5only
c. I,d5II,d5andd5 IVd5only
d. II,d5III,d5andd5IVd5only
ANS:d 5 D
Oligohydramnios,d5ad5reducedd5quantityd5ofd5amnioticd5fluidd5presentd5ford5and5extendedd5periodd
5ofd5time,d5withd5ord5withoutd5renald5anomalies,d5isd5associatedd5withd5lungd5hypoplasia.d5Thed5
mechanismsd5byd5whichd5amnioticd5fluidd5volumed5influencesd5lungd5growthd5remaind5unclear.d5P
ossibled5explanationsd5ford5reducedd5quantityd5ofd5amnioticd5fluidd5included5mechanicald5restrict
iond5ofd5thed5chestd5wall,d5interferenced5withd5fetald5breathing,d5ord5failured5tod5produced5fetald5l
ungd5liquid.d5Thesed5clinicald5andd5experimentald5observationsd5possiblyd5pointd5tod5ad5common
d5denominator,d5lungd5stretch,d5asd5beingd5ad5majord5growthd5stimulant.
REF:d5pp.d56-7
5. Whatd5isd5thed5purposed5ofd5thed5substanced5secretedd5byd5thed5typed5 IId5pneumocyte?
a. Tod5increased5thed5gasd5exchanged5surfaced5area
b. Tod5reduced5surfaced5tension
c. Tod5maintaind5lungd5elasticity
d. Tod5preserved5thed5volumed5ofd5thed5amnioticd5fluid
