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Neo-Ped Midterm
Neo-Ped- Midterm
| Question | Answer |
|---|---|
| Disease or condition suspected in an infant in respiratory distress and a physical exam has scaphoid abdomen | Diaphragmatic hernia |
| Another name for Persistent Fetal Circulation | Persistent Pulmonary hypertension |
| If delivered infant presents with acrocyanosis only and heart rate of 140 and respiratory rate of 60 | Observe the infant, no intervention |
| Clincal signs of RDS | Grunting, nasal flaring, and retractions, but not acrocyanosis |
| Respiratory disease resulting from the absence of both airflow and ventilatory effort | Central Sleep Apnea |
| The main source of respiratory acidocis | Hypoventilation |
| A disease that occurs primarily in infants how are delivered via c-section and often followed for rule out pneumonia and have high respiratory rates, AKA RDS type II | Transient tachypnea of the newborn |
| A disease seen at times in infants who present with greenish tinted amniotic fluid on delivery | Meconium Aspiration Syndrome |
| Reduce alveolar recruitment | Decreased pulmonary compliance, increased pulmonary resistance, and decrease functional residual capacity |
| A typical RDS pattern on chest x-ray | Ground glass appearance |
| Because of it, infants do better nowadays with recovering from RDS | Surfactant |
| Not a complication of ARD | Choanal atresia |
| Pierre Robin syndrome | An infant with small jaw |
| The primary factor in the development of Retinopath of Prematurity | Oxygen delivery |
| Infant appears with a distended abdomen that bowel loops can be felt and guaiac positive stools. As a clinician, the priamary consideration of differential diagnosis is | Necrotizing enterocolitis |
| A defect that occurs most commonly as a direct protrusion from the umbilical cord | Omphalocele |
| Purpose of Ballard and Dubowitz assessments | Gestational age |
| Reason an infant would have less pulmonary reserve than an adult | Large abdomen |
| The narrowest part of an infant's airway | Cricoid cartilage |
| Not true of an infant's airway/breathing | Tongue smaller |
| Greater that 90th percentile and Large for gestational age describe | LGA |
| Adequate mean blood pressure can be calculated in a neonate with the formula | Gestational age + 5 |
| Not a "red flag" in the neonatal patient | Respiratory rate greater than 40, but less than 60 |
| Vernix describes a | cheese-like appearance |
| Laguno describes | Fine hair |
| Indicative of Polycythemia | Ruddy appearance |
| Indicative of Meconium | Green staining |
| Indicative of respiratory distress | Head bobbing |
| Another name for huff coughing | Forced exhalation technique |
| Technique whereby the patient is instructed to breathe at 3 different lung levels with huff coughing interspersed | Autogenic drainage |
| Side of the diaphragm where the majority of diaphragmatic patients have the hernia | Left |
| Causes of obstruction of mucus in the airway | Infection, atelectasis, infalmmation, air trapping |
| The final step to chest physiotherapy | Coughing |
| Infant is 35 weeks gestation and weighs 2500 | CPT indicated |
| Chest tube located in left lower lobe, if CPT ordered to upper right lobe for pneumonia | CPT incicated |
| Contrary to normal coughing, during forced expiratory technique | Glottis remains open |
| Ideal range of pressure patient should generate | 10 to 20 cmH20 |
| Visible secretions in the ETT, patient with deterioration condition | Signs of suctioning in intubated patient |
| accicdental extubation, atelectatsis mucosal damage, hypoxemia | Hazards of suctioning |
| Proper position of oxygen analyzer to appropriately read FiO2 | Close to infant's face/head |
| With high flow nasal cannula | unable to determine CPAP |
| Resuscitator bag that can deliver free flow oxygen through the mask port | Flow inflating |
| Mask good to deliver both humidification and a precise FiO2 | Venturi mask |
| Approximate PaO2 when oxygen saturation monitor reads 90% | 60 torr |
| Term refering to abnormally low levels of oxygen in the tissue | Hypoxia |
| Location of the fetal oxyhemoglobin curve reside in comparison with the normal adult oxyhemoglobin | The fetal curve lies ot the left of the adult curve |
| Delivery device most suitable for the administration of heliox | Nonrebreather mask |
| Excess condensate present in aerosol tubing | will increase the FiO2 |
Created by:
bhilaire
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