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RES 260 Neonatal 4

RES 260 Causes and Care of Illness in Perinatal and Pediatric Patients

QuestionAnswer
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
Created by: Cam1228