TEST BANK NEONATAL & PEDIATRIC RESPIRATORY CARE 5thEdition, Walsh

TEST BANK M




NEONATAL & PEDIATRICRE
M M M




SPIRATORY CARE M




5th Edition, Walsh
M
M




TEST BANK M

,NeonatalMandMPediatricMRespiratoryMCare,M5thMEdition,MBrianMK.MWalshMTestMBank

TableMofMContents
ChapterM1.MFetalMLungMDevelopment
ChapterM2.MFetalMGasMExchangeMandMCirculation
ChapterM3.MAntenatalMAssessmentMandMHigh-RiskMDelivery
ChapterM4.MExaminationMandMAssessmentMofMtheMNeonatalMandMPediatricMPatient
ChapterM5.MPulmonaryMFunctionMTestingMandMBedsideMPulmonaryMMechanics
ChapterM6.MRadiographicMAssessment
ChapterM7.MPediatricMFlexibleMBronchoscopy
ChapterM8.MInvasiveMBloodMGasMAnalysisMandMCardiovascularMMonitoring
ChapterM9.MNoninvasiveMMonitoringMinMNeonatalMandMPediatricMCare
ChapterM10.MOxygenMAdministration
ChapterM11.MAerosolsMandMAdministrationMofMInhaledMMedications
ChapterM12.MAirwayMClearanceMTechniquesMandMHyperinflationMTherapy
ChapterM13.MAirwayMManagement
ChapterM14.MSurfactantMReplacementMTherapy
ChapterM15.MNoninvasiveMMechanicalMVentilationMandMContinuousMPositiveMPressureMofMtheMNeonat
e
ChapterM16.MNoninvasiveMMechanicalMVentilationMofMtheMInfantMandMChild
ChapterM17.MInvasiveMMechanicalMVentilationMofMtheMNeonateMandMPediatricMPatient
ChapterM18.MAdministrationMofMGasMMixtures
ChapterM19.MExtracorporealMMembraneMOxygenation
ChapterM20.MPharmacology
ChapterM21.MThoracicMOrganMTransplantation
ChapterM22.MNeonatalMPulmonaryMDisorders
ChapterM23.MSurgicalMDisordersMinMChildhoodMthatMAffectMRespiratoryMCare
ChapterM24.MCongenitalMCardiacMDefects
ChapterM25.MPediatricMSleep-DisorderedMBreathing
ChapterM26.MPediatricMAirwayMDisordersMandMParenchymalMLungMDiseases
ChapterM27.MAsthma
ChapterM28.MCysticMFibrosis
ChapterM29.MAcuteMRespiratoryMDistressMSyndrome
ChapterM30.MShock
ChapterM31.MPediatricMTrauma
ChapterM32.MDisordersMofMtheMPleura
ChapterM33.MNeurologicalMandMNeuromuscularMDisorders
ChapterM34.MPediatricMEmergencies
ChapterM35.MHomeMCareMofMtheMPostpartumMFamily
ChapterM36.MQualityMandMSafety

,ChapterM1:MFetalMLungMDevelopment
Walsh:MNeonatalM&MPediatricMRespiratoryMCareM5thMEditionMTestMBankM(2020)

MULTIPLEMCHOICE

1. WhichMofMtheMfollowingMphasesMofMhumanMlungMdevelopmentMisMcharacterizedMbyMtheMforma
tionMofMaMcapillaryMnetworkMaroundMairwayMpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular

ANS:M D
TheMcanalicularMphaseMfollowsMtheMpseudoglandularMphase,MlastingMfromMapproximatelyM17M
weeksMtoM26MweeksMofMgestation.MThisMphaseMisMsoMnamedMbecauseMofMtheMappearanceMofMvas
cularMchannels,MorMcapillaries,MwhichMbeginMtoMgrowMbyMformingMaMcapillaryMnetworkMaround
MtheMairMpassages.MDuringMtheMpseudoglandularMstage,MwhichMbeginsMatMdayM52MandMextendsM


toMweekM16MofMgestation,MtheMairwayMsystemMsubdividesMextensivelyMandMtheMconductingMair
wayMsystemMdevelops,MendingMwithMtheMterminalMbronchioles.MTheMsaccularMstageMofMdevelo
pment,MwhichMtakesMplaceMfromMweeksM29MtoM36MofMgestation,MisMcharacterizedMbyMtheMdevel
opmentMofMsacsMthatMlaterMbecomeMalveoli.MDuringMtheMsaccularMphase,MaMtremendousMincreas
eMinMtheMpotentialMgas-
MexchangingMsurfaceMareaMoccurs.MTheMdistinctionMbetweenMtheMsaccularMstageMandMtheMalveo


larMstageMisMarbitrary.MTheMalveolarMstageMstretchesMfromM39MweeksMofMgestationMtoMterm.MTh
isMstageMisMrepresentedMbyMtheMestablishmentMofMalveoli.

REF:Mpp.M 3-5

2. RegardingMpostnatalMlungMgrowth,MbyMapproximatelyMwhatMageMdoMmostMofMtheMalveoliMthat
M willMbeMpresentMinMtheMlungsMforMlifeMdevelop?
a. 6Mmonths
b. 1Myear
c. 1.5Myears
d. 2Myears

ANS:M C
MostMofMtheMpostnatalMformationMofMalveoliMinMtheMinfantMoccursMoverMtheMfirstM1.5MyearsMof
Mlife.M
AtM2MyearsMofMage,MtheMnumberMofMalveoliMvariesMsubstantiallyMamongMindividuals.MAft
erM2M yearsMofMage,MmalesMhaveMmoreMalveoliMthanMdoMfemales.MAfterMalveolarMmultiplication
Mends,MtheMalveoliMcontinueMtoMincreaseMinMsizeMuntilMthoracicMgrowthMisMcompleted.




REF:Mp.M6

3. TheMrespiratoryMtherapistMisMevaluatingMaMnewbornMwithMmildMrespiratoryMdistressMdueMtoMtrac
healMstenosis.MDuringMwhichMperiodMofMlungMdevelopmentMdidMthisMproblemMdevelop?

, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:M A
TheMinitialMstructuresMofMtheMpulmonaryMtreeMdevelopMduringMtheMembryonalMstage.MErrorsMi
nMdevelopmentMduringMthisMtimeMmayMresultMinMlaryngeal,Mtracheal,MorMesophagealMatresiaMo
rMstenosis.MPulmonaryMhypoplasia,ManMincompleteMdevelopmentMofMtheMlungsMcharacterizedM
byManMabnormallyMlowMnumberMand/orMsizeMofMbronchopulmonaryMsegmentsMand/orMalveoli,
McanMdevelopMduringMtheMpseudoglandularMphase. MIfMtheMfetusMisMbornMduringMtheMcanalicula


rMphaseM(i.e.,Mprematurely),MsevereMrespiratoryMdistressMcanMbeMexpectedMbecauseMtheMinade
quatelyMdevelopedMairways,MalongMwithMinsufficientMandMimmatureMsurfactantMproductionMb
yMalveolarMtypeMIIMcells,MgivesMriseMtoMtheMconstellationMofMproblemsMknownMasMinfantMrespi
ratoryMdistressMsyndrome.

REF:MMMp.M6

4. WhichMofMtheMfollowingMmechanismsMisM(are)MresponsibleMforMtheMpossibleMassociationMbetw
eenMoligohydramniosMandMlungMhypoplasia?

I. AbnormalMcarbohydrateMmetabolism
II. MechanicalMrestrictionMofMtheMchestMwall
III. InterferenceMwithMfetalMbreathing
IV. FailureMtoMproduceMfetalMlungMliquid
a. IMandM IIIMonly
b. IIMandM IIIMonly
c. I,MII,MandM IVMonly
d. II,M III,MandMIVMonly

ANS:M D
Oligohydramnios,MaMreducedMquantityMofMamnioticMfluidMpresentMforManMextendedMperiodMofMt
ime,MwithMorMwithoutMrenalManomalies,MisMassociatedMwithMlungMhypoplasia.MTheMmechanisms
MbyMwhichMamnioticMfluidMvolumeMinfluencesMlungMgrowthMremainMunclear.MPossibleMexplanat


ionsMforMreducedMquantityMofMamnioticMfluidMincludeMmechanicalMrestrictionMofMtheMchestMwall
,MinterferenceMwithMfetalMbreathing,MorMfailureMtoMproduceMfetalMlungMliquid.MTheseMclinicalMan
dMexperimentalMobservationsMpossiblyMpointMtoMaMcommonMdenominator,MlungMstretch,MasMbei
ngMaMmajorMgrowthMstimulant.

REF:Mpp.M6-7

5. WhatMisMtheMpurposeMofMtheMsubstanceMsecretedMbyMtheMtypeMIIMpneumocyte?
a. ToMincreaseMtheMgasMexchangeMsurfaceMarea
b. ToMreduceMsurfaceMtension
c. ToMmaintainMlungMelasticity
d. ToMpreserveMtheMvolumeMofMtheMamnioticMfluid