comprehensive perinatal & pediatric respiratory care 4th
edition chapter 1,2,3,5,6 GRADED Q & A 2023
While performing an aerosol treatment on a 30 week gestation neonate, you have the incubator open
for access and notice the skin temp is 36 c To maintain the neonates oxygen consumption at its lowest
temp: correct answers The neonate should be protected to avoid any lowering of the skin temperature
In which of the following situations would non-shivering thermogenesis be triggered? correct answers
Increased convective heat loss
During resuscitation of a 28 week neonate, the baby is placed on an open warmer and dried vigorously.
radiant warmer is turned on, while the baby is on a warming pad being changed without a blanket what
type of heat loss is it prone to? correct answers Convective
A 33 week old neonate, 1 week old is noted on a blood gas to have metabolic acidosis, which of the
following could be a contributor to the acidosis? correct answers Oxygen from the resuscitation bag
blowing on the neonates face
While performing a vent check on a 32 week neonate, you note that the legs and arms are mildly
cyanotic and pale, while the trunk is pink. You should: correct answers Check the baby's temp
During the chest physiotherapy on a 29 week neonate, you not that the baby is hiccoughing this could
be a sign of? correct answers Overstimulation
A neonate is due for suctioning, which has been ordered Q4h. As you observe the neonate, you note
that the oxygen saturation is 97% and the baby is sleeping quietly. Following the guidelines of
environmental control, you should: correct answers Not disturb the neonate
A 32-week neonate weighed 2500 gm at birth and 2 days later weighs 2175 gm. You would: correct
answers do nothing, as that amount of weight loss is within the normal range
While assessing a 3 day old neonate 30 weeks gestation you note decreased skin turgor and mildly
sunken fontanelle, this neonate shows signs of: correct answers Fluid deficit
A full term infant is admitted to the PICU for dehydration following a week long bout of vomitting, 3
days later it is noted that the baby has developed edema in the legs and arms, which of the following
scenarios is most likely the cause of this? correct answers Hypernatremia
3 days post delivery a 38 week neonate is being evaluated following a seizure, on review the nurse notes
that the infant has been showing increased irritability and apnea for the previous 8 hours, what is the
most likely cause of the symptoms? correct answers Hypocalcemia
You are called to he pediatric unit to assess a 5 day old infant with jaundice, which of the following
would lead you to believe this is a pathalogic condition? correct answers The conjugated bilirubin is 2
mg/L
, Of the following which is not a risk factor for NEC? correct answers Hyperthermia
Which of the following are true regarding the anatomic and physiological differences between adults
and infants? correct answers C.
Infants have a proportionally larger tongue
Infants have a proportionally larger body surface area
Infants have a higher oxygen consumption
While reviewing a patient's chart before her delivery, you note the previous history shows PARA 3-1-0-2.
Which of the following is true? correct answers One previous birth is not living.
Identify which of the following are included in the Ballard gestational age assessment. correct answers
A.
o Ear recoil
o sole creases
o skin appearance
o presence of lanugo
Upon examination of a newborn, you find thick vernix covering the infant, gelatinous translucent skin,
thick lanugo over the body, faint red lines on the soles of the feet, flat areola with no bud, slow ear
recoil, a male genitalia that shows no scrotal rugae or testicular descent. The proximate gestational age
of this infant is: correct answers 26-28 weeks
Which of the following are done during the quiet examination? correct answers C.
o Assess skin color
o Assess patient movement
o Overall visual inspection
Increased intracranial pressure is indicated when: correct answers The fontanelles are bulging or tense
Which of the following is NOT an indication to performing PFTs on a neonate or pediatric patient?
correct answers Assess the extent of a pneumothorax.
Of the following, which may result in inaccurate pleural pressure readings when an esophageal balloon
is used? correct answers D.
o cardiac artifact
o paradoxical chest movement
o REM sleep
Body plethysmography uses which of the following gas law to measure thoracic gas volume? correct
answers P X V = P' X V'
This volume pressure loop shows which of the following?
(Picture not included, see book) correct answers Normal findings
edition chapter 1,2,3,5,6 GRADED Q & A 2023
While performing an aerosol treatment on a 30 week gestation neonate, you have the incubator open
for access and notice the skin temp is 36 c To maintain the neonates oxygen consumption at its lowest
temp: correct answers The neonate should be protected to avoid any lowering of the skin temperature
In which of the following situations would non-shivering thermogenesis be triggered? correct answers
Increased convective heat loss
During resuscitation of a 28 week neonate, the baby is placed on an open warmer and dried vigorously.
radiant warmer is turned on, while the baby is on a warming pad being changed without a blanket what
type of heat loss is it prone to? correct answers Convective
A 33 week old neonate, 1 week old is noted on a blood gas to have metabolic acidosis, which of the
following could be a contributor to the acidosis? correct answers Oxygen from the resuscitation bag
blowing on the neonates face
While performing a vent check on a 32 week neonate, you note that the legs and arms are mildly
cyanotic and pale, while the trunk is pink. You should: correct answers Check the baby's temp
During the chest physiotherapy on a 29 week neonate, you not that the baby is hiccoughing this could
be a sign of? correct answers Overstimulation
A neonate is due for suctioning, which has been ordered Q4h. As you observe the neonate, you note
that the oxygen saturation is 97% and the baby is sleeping quietly. Following the guidelines of
environmental control, you should: correct answers Not disturb the neonate
A 32-week neonate weighed 2500 gm at birth and 2 days later weighs 2175 gm. You would: correct
answers do nothing, as that amount of weight loss is within the normal range
While assessing a 3 day old neonate 30 weeks gestation you note decreased skin turgor and mildly
sunken fontanelle, this neonate shows signs of: correct answers Fluid deficit
A full term infant is admitted to the PICU for dehydration following a week long bout of vomitting, 3
days later it is noted that the baby has developed edema in the legs and arms, which of the following
scenarios is most likely the cause of this? correct answers Hypernatremia
3 days post delivery a 38 week neonate is being evaluated following a seizure, on review the nurse notes
that the infant has been showing increased irritability and apnea for the previous 8 hours, what is the
most likely cause of the symptoms? correct answers Hypocalcemia
You are called to he pediatric unit to assess a 5 day old infant with jaundice, which of the following
would lead you to believe this is a pathalogic condition? correct answers The conjugated bilirubin is 2
mg/L
, Of the following which is not a risk factor for NEC? correct answers Hyperthermia
Which of the following are true regarding the anatomic and physiological differences between adults
and infants? correct answers C.
Infants have a proportionally larger tongue
Infants have a proportionally larger body surface area
Infants have a higher oxygen consumption
While reviewing a patient's chart before her delivery, you note the previous history shows PARA 3-1-0-2.
Which of the following is true? correct answers One previous birth is not living.
Identify which of the following are included in the Ballard gestational age assessment. correct answers
A.
o Ear recoil
o sole creases
o skin appearance
o presence of lanugo
Upon examination of a newborn, you find thick vernix covering the infant, gelatinous translucent skin,
thick lanugo over the body, faint red lines on the soles of the feet, flat areola with no bud, slow ear
recoil, a male genitalia that shows no scrotal rugae or testicular descent. The proximate gestational age
of this infant is: correct answers 26-28 weeks
Which of the following are done during the quiet examination? correct answers C.
o Assess skin color
o Assess patient movement
o Overall visual inspection
Increased intracranial pressure is indicated when: correct answers The fontanelles are bulging or tense
Which of the following is NOT an indication to performing PFTs on a neonate or pediatric patient?
correct answers Assess the extent of a pneumothorax.
Of the following, which may result in inaccurate pleural pressure readings when an esophageal balloon
is used? correct answers D.
o cardiac artifact
o paradoxical chest movement
o REM sleep
Body plethysmography uses which of the following gas law to measure thoracic gas volume? correct
answers P X V = P' X V'
This volume pressure loop shows which of the following?
(Picture not included, see book) correct answers Normal findings
