RES 204 FINAL EXAM STUDY
GUIDE 100% CORRECT
A baby is born at term with a bilateral cleft lip and palate and a very small mandible.
She requires positive-pressure ventilation because she is not breathing. You are unable
to achieve a seal with bag and mask. Which intervention is indicated? - ANSWER Insert
a laryngeal mask
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60
beats per minute. What is the most important action you can take? - ANSWER Provide
PPV
What size (internal diameter) endotracheal tube should be used to intubate a newborn
with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? -
ANSWER 2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At
delivery, the newborn is term as expected, with very poor tone and he is not breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? - ANSWER Start PPV and check HR
after 15 seconds
During the resuscitation of a newborn, you auscultate the apical pulse and count 10
beats over a 6 second period. What heart rate do you report to your team? - ANSWER
100 bpm
You are part of a team preparing for the birth of a baby who has meconium-stained fluid
and a category III fetal heart rate tracing. A person skilled in endotracheal intubation
should be - ANSWER present at birth
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the
baby is not vigorous. What steps should be taken immediately after birth? - ANSWER
bring baby to radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? - ANSWER PPV that inflates the lungs
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to
initial steps and requires positive-pressure ventilation. What concentration of oxygen
should be used as you begin positive-pressure ventilation? - ANSWER 21-30%
, You have started positive-pressure ventilation for a newborn because her heart rate is
low (bradycardia). What is the most important indicator of successful positive-pressure
ventilation? - ANSWER a rising heart rate
A baby requires positive-pressure ventilation because she is not breathing (apneic), but
she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
You have been called to attend a birth and are the only healthcare provider responsible
for the management of the newborn in the room. When should you first call for
additional help? - ANSWER Before birth, when you have identified the presence of a
perinatal risk factor that increases the likelihood of requiring neonatal resuscitation.
What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation? - ANSWER Suction the mouth before the nose.
pressures in the right side of the heart compared to those in the left side of the heart of
the fetus are - ANSWER higher
which of the following carries the fresh blood from the placenta through the umbilical
cord and into the fetus? - ANSWER umbilical vein
the 5 min apgar score is predictive of which of the following - ANSWER future
impairment
the change from fetal circulation to adult circulation is called - ANSWER transition
Alveoli continue to - ANSWER increase in number for 8 years after birth
the foramen ovale is located between the right atrium and - ANSWER left atrium
the infant tongue is proportionally _______the adult tongue - ANSWER larger than
as the radius of a bubble, or alveolus decreases the surface tension - ANSWER
increases
during a quiet examination on a premature neonate, the respiratory therapist notices
that the infant displays periods of apnea lasting 5 seconds. There is no cyanosis or
bradycardia. What treatment should the therapist initiate? - ANSWER oxygen
a respiratory therapist performs a quick apgar score during a physical exam on a
neonate following delivery. The score is 5 at 1 minute and 6 at 5 minutes. What should
be the next course of action - ANSWER immediate clinical intervention
which of the following factors indicate a high risk pregnancy - ANSWER unwed status,
especially adolescents
GUIDE 100% CORRECT
A baby is born at term with a bilateral cleft lip and palate and a very small mandible.
She requires positive-pressure ventilation because she is not breathing. You are unable
to achieve a seal with bag and mask. Which intervention is indicated? - ANSWER Insert
a laryngeal mask
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60
beats per minute. What is the most important action you can take? - ANSWER Provide
PPV
What size (internal diameter) endotracheal tube should be used to intubate a newborn
with an estimated gestational age of 26 weeks (estimated birth weight of 800 g)? -
ANSWER 2.5 mm
Your team attends an emergency cesarean delivery of a term baby because of
chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. At
delivery, the newborn is term as expected, with very poor tone and he is not breathing
(apneic). You quickly perform initial steps, but the newborn is still not breathing. What is
the most appropriate next step of resuscitation? - ANSWER Start PPV and check HR
after 15 seconds
During the resuscitation of a newborn, you auscultate the apical pulse and count 10
beats over a 6 second period. What heart rate do you report to your team? - ANSWER
100 bpm
You are part of a team preparing for the birth of a baby who has meconium-stained fluid
and a category III fetal heart rate tracing. A person skilled in endotracheal intubation
should be - ANSWER present at birth
You are at a delivery of a baby born through meconium-stained amniotic fluid, and the
baby is not vigorous. What steps should be taken immediately after birth? - ANSWER
bring baby to radiant warmer for initial steps of newborn care.
What is the most effective maneuver to establish spontaneous breathing in a baby that
is apneic after initial steps? - ANSWER PPV that inflates the lungs
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to
initial steps and requires positive-pressure ventilation. What concentration of oxygen
should be used as you begin positive-pressure ventilation? - ANSWER 21-30%
, You have started positive-pressure ventilation for a newborn because her heart rate is
low (bradycardia). What is the most important indicator of successful positive-pressure
ventilation? - ANSWER a rising heart rate
A baby requires positive-pressure ventilation because she is not breathing (apneic), but
she soon establishes spontaneous respirations and a heart rate over 100 beats per
minute. Her oxygen saturation is lower than the target level when in room air, so you
You have been called to attend a birth and are the only healthcare provider responsible
for the management of the newborn in the room. When should you first call for
additional help? - ANSWER Before birth, when you have identified the presence of a
perinatal risk factor that increases the likelihood of requiring neonatal resuscitation.
What is the preferred technique for removing secretions from the mouth and nose of a
newborn who requires resuscitation? - ANSWER Suction the mouth before the nose.
pressures in the right side of the heart compared to those in the left side of the heart of
the fetus are - ANSWER higher
which of the following carries the fresh blood from the placenta through the umbilical
cord and into the fetus? - ANSWER umbilical vein
the 5 min apgar score is predictive of which of the following - ANSWER future
impairment
the change from fetal circulation to adult circulation is called - ANSWER transition
Alveoli continue to - ANSWER increase in number for 8 years after birth
the foramen ovale is located between the right atrium and - ANSWER left atrium
the infant tongue is proportionally _______the adult tongue - ANSWER larger than
as the radius of a bubble, or alveolus decreases the surface tension - ANSWER
increases
during a quiet examination on a premature neonate, the respiratory therapist notices
that the infant displays periods of apnea lasting 5 seconds. There is no cyanosis or
bradycardia. What treatment should the therapist initiate? - ANSWER oxygen
a respiratory therapist performs a quick apgar score during a physical exam on a
neonate following delivery. The score is 5 at 1 minute and 6 at 5 minutes. What should
be the next course of action - ANSWER immediate clinical intervention
which of the following factors indicate a high risk pregnancy - ANSWER unwed status,
especially adolescents
