click below
click below
Normal Size Small Size show me how
RES 260 Neonatal 4
RES 260 Causes and Care of Illness in Perinatal and Pediatric Patients
Question | Answer |
---|---|
Which of the following are indicative of TTN? | tachypnea,cyanosis,normal PaO2 and PaCO2 |
A ventilator patient's status suddenly worsens with bradycardia, cyanosis, retractions, and apnea. The immediate reaction of the respiratory care practitioner would be | check for signs of extubation followed by transillumination of the chest |
Which of the following drugs might be administered to maintain a patent ductus arteriosus as treatment for complete transposition of the great vessels? | Prostaglandin E1 |
Which of the following heart defects is not compatible with life when an abnormal opening between the right and left heart does not exist? | transposition of the great vessels |
Intubation of the trachea, followed by suction applied to the endotracheal tube while it is being removed, is indicated when | thick meconium is present in the amniotic fluid |
What is the major emphasis in mechanically ventilating a patient with asthma? | Prolonging expiratory time |
The cystic fibrosis gene occurs most frequently in which of the following races? | Caucasian |
Ribavirin has been used to treat pulmonary infections caused by | respiratory syncytial virus (RSV). |
A higher systolic blood pressure in the right arm over either leg would indicate which of the following? | coarctation of the aorta |
Chorioamnionitis is caused by | bacterial infection. |
PIE can best be treated by | low ventilatory pressures. |
Pulmonary hypoplasia is a common complication with which of the following birth defects? | Omphalocele |
In the case of a severe asthma attack, which of these drugs should be started first in the emergency room treatment of asthma? | Oxygen |
Pathophysiologic manifestations of RDS include | decreased V/Q ratios.increased work of breathing.atelectasis. |
Which of the following drugs would be used to treat central apnea? | Caffeine |
Which of the following diseases typically is accompanied by a high fever? | Epiglottitis |
In children, chloride levels greater than _____ are consider diagnostic for CF when the sweat chloride test is performed. | 60 mEq/L |
The underlying etiology of RDS is | surfactant deficiency. |
Which of the following birth defects might be present in a normal-appearing baby who exhibits excess salivation and drooling and displays episodes of choking, gagging, and dyspnea associated with attempts at feeding? | |
Oxygen toxicity, barotrauma, PDA, and fluid overload are all linked to the development of | BPD. |
Which of the following ranges of PaO2 represents a suitable range for the preterm infant with RDS? | 50-80 mm Hg |
A patient is suspected of having PPHN. Which of the following is the most accurate test to make the diagnosis? | the hyperoxia-hyperventilation test |
A fetus receives immunity from the mother by which of the following antibodies? | IgG |
Hepatitis, jaundice, hepatosplenomegaly, and neurologic abnormalities are symptoms of which of the following fetal infections? | Disseminated herpes simplex |
Which of the following best defines vaso-obliteration? | Necrosis of retinal vessels. |
Which of the following are clinical signs of an esophageal-tracheal anomaly? | accumulation of oral secretions,sporadic respiratory distress,regurgitation of feedings |
Which of the following defects is most common? | Esophageal atresia with lower fistula |
Which of the following conditions may trigger apnea in a neonate | Hypothermia,Hyperthermia,Suctioning, Necrotizing enterocolitis |
Which of the factors below are linked to BPD? | Patient ductus arteriosus,Positive-pressure ventilation,Oxygen supplementation |
Which of the following signs are typical of respiratory distress syndrome (RDS)? | Intercostal and substernal retractions,Expiratory grunting,Nasal flaring |
Intraventricular hemorrhage in premature neonates occurs most often in the | germinal matrix. |
Of the following, which are complications of RDS? | DIC, intraventricular hemorrhage ,infection, PDA |
Which of the following is least likely to be used when treating BPD? | ECMO |
The radiographic picture of Wilson-Mikity syndrome appears similar to | BPD |
Prevention of ROP is based on | cautious use of oxygen |
Bleeding in the brain ventricles, without evidence of ventricular dilation, describes | grade II IVH |
Meconium passage into the amniotic fluid is precipitated by | asphyxia |
Which of the following is a risk of treating PPHN with NO? | methemoglobinemia |
Which of the following are routes of HIV infections in the fetus and neonate? | transplacentally,breast milk,contact with maternal secretions |
Which of the following drugs is not used in the treatment of AIDS or its complications? | indocin |
The probable diagnosis of a neonate delivered with polyhydramnios, a flat abdomen, and respiratory distress is | diaphragmatic hernia |
The branch(es) of CNS that appear(s) to be primarily responsible for inhibiting bronchial smooth muscle contraction is (are) the | parasympathetic,nonadrenergic noncholinergic |
Which of the following would be the drug of choice during the inflammatory stage of asthma? | beclomethasone |
Which of the following is (are) inherited as autosomal-recessive traits? | Kugelberg-Welander disease,Werdnig-Hoffman paralysis |
Edrophonium (Tensilon) is used to diagnose which of the following? | myasthenia gravis |
Treating a patient with a head injury, the respiratory care practitioner receives the following arterial blood gas: pH = 7.48; PaCO2 = 34 mm Hg; PaO2 = 120 mm Hg. The appropriate response would be | increase ventilation only |
Which of the following factors increase survival in near-drowning patients? | rapid administration of CPR |
Development of atelectasis, edema, inflammation, and plugging of the bronchi occur during which phase of chlorine inhalation? | phase 2 |
The incidence of SIDS is increased in which of the following? | babies with low Apgar scores,babies of mothers younger than 20 years old,inadequate maternal prenatal care,maternal drug abuse,babies who are small for gestational age |
When treating croup, which of the following would be the drug of choice? | racemic epinephrine |