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NUR 418
Exam3: NUR 418 Nursing Care of the Childbearing Family- 2025
Actual Questions & Answers | Concordia St. Paul.
1. A newborn born at 32 weeks gestation is showing signs of respiratory
distress, including nasal flaring, tachypnea, and use of accessory muscles. The
healthcare provider suspects Respiratory Distress Syndrome (RDS). What is the
most likely cause of the infant's respiratory distress?
A) Inadequate surfactant production due to immature lung development
B) Inadequate blood circulation to the lungs
C) Excessive surfactant production leading to lung collapse
D) An obstruction in the upper airway causing airway resistance: A) Inadequate
surfactant production due to immature lung development
2. Which of the following diagnostic findings would be expected in a newborn
with Respiratory Distress Syndrome (RDS)?
A) A reticulogranular pattern resembling "ground glass" on chest X-ray
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B) Elevated lecithin-to-sphingomyelin (L/S) ratio
C) High levels of phosphatidylglycerol (PG)
D) Clear lung fields on chest X-ray: A) A reticulogranular pattern resembling
"ground glass" on chest X-ray
3. Which of the following is a primary risk factor for developing Respiratory
Distress Syndrome (RDS) in a newborn?
A) Full-term gestation
B) Low birth weight
C) Premature birth
D) Maternal smoking during pregnancy: C) Premature birth
4. Which of the following interventions would be most appropriate for a
newborn diagnosed with Respiratory Distress Syndrome (RDS)?
A) Administering supplemental oxygen and surfactant therapy
B) Providing oral feedings to promote lung growth
C) Initiating mechanical ventilation without oxygen support
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D) Delaying interventions until the infant is 36 weeks gestation: A)
Administering supplemental oxygen and surfactant therapy
5. A newborn presents with nasal flaring, tachypnea, retractions, and
cyanosis. The healthcare provider suspects Respiratory Distress Syndrome
(RDS). Which of the following lab findings is most likely to be present in this
infant?
A) High levels of phosphatidylglycerol (PG)
B) Lecithin-to-sphingomyelin (L/S) ratio greater than 2:1
C) Elevated pH and normal oxygen levels
D) Low lecithin-to-sphingomyelin (L/S) ratio and low phosphatidylglycerol (PG)
levels: D) Low lecithin-to-sphingomyelin (L/S) ratio and low
phosphatidylglycerol (PG) levels
6. A nurse is educating a group of pregnant women about preterm labor. Which
of the following statements by the nurse is correct regarding the risk of
Respiratory Distress Syndrome (RDS) in preterm infants?
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A) Preterm infants are less likely to develop RDS because they are born with
mature lungs.
B) The risk of RDS is higher the earlier the gestation, particularly before 36
weeks.
C) RDS only occurs if the infant is less than 32 weeks gestation.
D) If a preterm infant has a mature L/S ratio, they will not develop RDS.: B) The
risk of RDS is higher the earlier the gestation, particularly before 36 weeks.
7. Which of the following physical signs would the nurse most likely observe in
a newborn with Respiratory Distress Syndrome (RDS)?
A) Decreased work of breathing
B) Expiratory grunting and nasal flaring
C) Increased oxygen saturation and normal breath sounds
D) Strong, regular breathing without signs of distress: Answer: B) Expiratory
grunting and nasal flaring
8. What is the underlying pathophysiology of Respiratory Distress Syndrome
(RDS) in preterm infants?
NUR 418
NUR 418
Exam3: NUR 418 Nursing Care of the Childbearing Family- 2025
Actual Questions & Answers | Concordia St. Paul.
1. A newborn born at 32 weeks gestation is showing signs of respiratory
distress, including nasal flaring, tachypnea, and use of accessory muscles. The
healthcare provider suspects Respiratory Distress Syndrome (RDS). What is the
most likely cause of the infant's respiratory distress?
A) Inadequate surfactant production due to immature lung development
B) Inadequate blood circulation to the lungs
C) Excessive surfactant production leading to lung collapse
D) An obstruction in the upper airway causing airway resistance: A) Inadequate
surfactant production due to immature lung development
2. Which of the following diagnostic findings would be expected in a newborn
with Respiratory Distress Syndrome (RDS)?
A) A reticulogranular pattern resembling "ground glass" on chest X-ray
NUR 418
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NUR 418
B) Elevated lecithin-to-sphingomyelin (L/S) ratio
C) High levels of phosphatidylglycerol (PG)
D) Clear lung fields on chest X-ray: A) A reticulogranular pattern resembling
"ground glass" on chest X-ray
3. Which of the following is a primary risk factor for developing Respiratory
Distress Syndrome (RDS) in a newborn?
A) Full-term gestation
B) Low birth weight
C) Premature birth
D) Maternal smoking during pregnancy: C) Premature birth
4. Which of the following interventions would be most appropriate for a
newborn diagnosed with Respiratory Distress Syndrome (RDS)?
A) Administering supplemental oxygen and surfactant therapy
B) Providing oral feedings to promote lung growth
C) Initiating mechanical ventilation without oxygen support
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D) Delaying interventions until the infant is 36 weeks gestation: A)
Administering supplemental oxygen and surfactant therapy
5. A newborn presents with nasal flaring, tachypnea, retractions, and
cyanosis. The healthcare provider suspects Respiratory Distress Syndrome
(RDS). Which of the following lab findings is most likely to be present in this
infant?
A) High levels of phosphatidylglycerol (PG)
B) Lecithin-to-sphingomyelin (L/S) ratio greater than 2:1
C) Elevated pH and normal oxygen levels
D) Low lecithin-to-sphingomyelin (L/S) ratio and low phosphatidylglycerol (PG)
levels: D) Low lecithin-to-sphingomyelin (L/S) ratio and low
phosphatidylglycerol (PG) levels
6. A nurse is educating a group of pregnant women about preterm labor. Which
of the following statements by the nurse is correct regarding the risk of
Respiratory Distress Syndrome (RDS) in preterm infants?
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A) Preterm infants are less likely to develop RDS because they are born with
mature lungs.
B) The risk of RDS is higher the earlier the gestation, particularly before 36
weeks.
C) RDS only occurs if the infant is less than 32 weeks gestation.
D) If a preterm infant has a mature L/S ratio, they will not develop RDS.: B) The
risk of RDS is higher the earlier the gestation, particularly before 36 weeks.
7. Which of the following physical signs would the nurse most likely observe in
a newborn with Respiratory Distress Syndrome (RDS)?
A) Decreased work of breathing
B) Expiratory grunting and nasal flaring
C) Increased oxygen saturation and normal breath sounds
D) Strong, regular breathing without signs of distress: Answer: B) Expiratory
grunting and nasal flaring
8. What is the underlying pathophysiology of Respiratory Distress Syndrome
(RDS) in preterm infants?
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