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RES 260 Neonatal

RES 260 Practice Final Exam Neonatal

QuestionAnswer
Of the following which would not be an indication for obtaining a blood gas sample? Significant blood loss
Which of the following statements best describes the function of the continuous flow button on the Partner volume monitor? It allows the monitor to measure volumes even when continuous flow is present.
Dense cystic patches arranged in generalized patterns that gradually increase in size and number describe which stage of BPD? Stage 3
Flattened diaphragms seen on a chest x-ray indicate: air trapping.
Two criteria used to determine potential ECLS patients are: A-a gradient and the oxygen index.
What is the first treatment for a patient with smoke inhalation and/or carbon monoxide poisoning? 100% oxygen
Which of the following available surfactants lacks surface-active proteins? Exosurf
The probable diagnosis of a neonate delivered with polyhydramnios, a flat abdomen, and respiratory distress is: diaphragmatic hernia.
Which of the following are possible strategies in the treatment of ARDS? Correct any physical derangements,Suppress alveolar inflammation,Prevent complications
Which of the following defines alveolar ventilations? Minute ventilation minus deadspace ventilation
Which of the following would cause erroneous pulse oximetry readings? Presence of carboxyhemoglobin
Cytomegalovirus is most devastating to the developing fetus: in early gestation.
You are intending to use an "E" cylinder of oxygen containing 1800 psi for transporting an infant on mechanical ventilation across town. You estimate the oxygen consumption to be 8 liters per minute during transport. How long will this cylinder last? 63 minutes
At a pH of 7.40, which of the following represents the correct balance of bicarbonate to dissolved carbon dioxide? 20:1
Proper function of the BEAR Cub pneumatic control system requires which of the following? The use of 3/16" proximal airway pressure tubing
Balloon septostomy is employed to improve blood mixing in which of the following congenital heart defects? Complete transposition of the great vessels.
Which of the following would be considered hazards of aerosol drug therapy? Infection,Medication side effects, Drug reconcentration,Overhydration
The most reliable diagnosis of cystic fibrosis involves: sweat/chloride levels.
Which of the following modalities of aerosol therapy should be selected when the patient is too young to coordinate breathing with medication delivery? Small volume nebulizer
A young patient presents in the ER with a history of a rapid onset of difficulty breathing. The patient complains of a severe sore throat and the voice is muffled. Which of the following would be appropriate at this time? Lateral neck x-ray
The head is said to be engaged in the birth canal when a station of _______ is reached. 0
Which of the following factors of maternal history places the fetus at high risk? Previous miscarriage,Previous premature delivery,Asthma,Maternal obesity
While managing a patient receiving HFOV the respiratory care practitioner notices that the PaO2 is decreased. This can be corrected by all of the following except: increasing the PIP.
An increasing PetCO2 may indicate which of the following? Worsening V/Q ratio,Improvement in alveolar deadspace disease
Which infection agent is the cause of most cases of epiglottitis? Haemophilus influenzae Type B
Rescue surfactant is given: after the onset of RDS symptoms.
Which of the following ventilators has the option of providing a sine-wave inspira┬Čtory flow pattern Sechrist IV-100
While suctioning the endotracheal tube following a CPT treatment, the patient becomes bradycardic. Which of the following should the respiratory care practitioner do? Stop the procedure, hyperoxygenate the patient, and shorten the duration of suction with subsequent attempts.
The neonatal cardiac silhouette is considered normal size if it is less than what percentage of the thoracic width? 60%
As respiratory rate increases at a static tidal volume, which of the following occurs? PaCO2 decreases,Alveolar ventilation increases
Development of atelectasis, edema, inflammation, and plugging of the bronchi occur during which phase of chlorine inhalation? Phase 2
Placement of a medication nebulizer in the ventilator circuit between the humidifier and the distal temperature probe may cause: overheating of the circuit when the nebulizer is removed.
The most powerful influence on the initial breath is: asphyxia.
Which of the following statements are true? X-ray confirms the presence or absence of a disease process.
When using an infant ventilator, which two parameters most directly affect tidal volume? Peak inspiratory pressure,PEEP
Which type of high-frequency ventilation utilizes a special adapter to an endotracheal tube (ETT) or a specially designed ETT? High-frequency jet ventilation
The purpose of heating the skin at the attachment site of the TCM is to: increase the perfusion to the area.
Each breath subsequent to the first breath requires less negative pressure due to: establishment of the FRC.
Which of the following is true regarding gaseous oxygen? It supports and intensifies combustion.
A problem with an umbilical artery catheter is that: it must be removed after several weeks use.
Which of the following gases is not released during a fire involving furniture and other building materials? Carbon dioxide
The respiratory therapist observes a PaO2 of 52 mm Hg on an infant despite nasal CPAP of 8 cm H2O and 60% oxygen. What is the therapist's most appropriate action? Intubation and ventilation in the IMV/CPAP mode.
What is the most accurate classification of neonatal mechanical ventilation? Pressure controlled, pressure limited, time cycled.
The major advantage to HFV is: reduced barotraumas.
A _______________mm ID endotracheal tube would usually be selected to intubate a 900-gram premature infant. 2.5
When treating croup, which of the following would be the drug of choice? Racemic epinephrine
An advantage to the use of negative pressure ventilation is: An advantage to the use of negative pressure ventilation is:
The branch(es) of CNS that appear(s) to be primarily responsible for inhibiting bronchial smooth muscle contraction is (are) the: nonadrenergic noncholinergic.
A suction pressure range of ________mm Hg is recommended for suctioning the lower airways of pediatric patients, other than neonates. -80 to -100
A newborn infant presents from delivery with severe respiratory distress. On examination, the abdomen is scaphoid. The radiograph shows a severe mediastinal shift to the right. The likely diagnosis is: diaphragmatic hernia.
The PEEP adjustment on the Babybird ventilator is located: on the expiratory valve.
When using the Bio-Med MVP-10 at an oxygen flow of 6 L/min and an airflow of 7 L/min, which of the following represents the correct FiO2. 0.57
Which of the following tests may aid in the diagnosis of persistent pulmonary hypertension of the newborn? Hyperoxia test,Measuring preductal and postductal PaO2 levels,Hyperoxia-hyperventilation test ,Echocardiogram
Which of the following modalities of aerosol therapy should be selected when the patient is too young to coordinate breathing with medication delivery? Small volume nebulizer
The probable diagnosis of a neonate delivered with polyhydramnios, a flat abdomen, and respiratory distress is: diaphragmatic hernia.
Clamping of the umbilical cord results in: raising the neonate's arterial pressure
The most common complication of ECLS is: bleeding.
Which of the following available surfactants lacks surface-active proteins? Exosurf
Which of the following statements best describes the function of the continuous flow button on the Partner volume monitor? It allows the monitor to measure volumes even when continuous flow is present.
Development of atelectasis, edema, inflammation, and plugging of the bronchi occur during which phase of chlorine inhalation? Phase 2
Placement of a medication nebulizer in the ventilator circuit between the humidifier and the distal temperature probe may cause: overheating of the circuit when the nebulizer is removed.
Reye's syndrome is diagnosed by: liver biopsy.
The neonatal cardiac silhouette is considered normal size if it is less than what percentage of the thoracic width? 40%
Which of the following tissues will appear whitest (opaque) on the chest x-ray? Bone
Dystocia could result from which of the following? Breech presentation ,Cephalopelvic disproportion,Uterine dysfunction
Which type of home oxygen supply is most economical for supplying low oxygen flows on a continuous basis? Oxygen concentrator
Which of these diseases has the highest incidence in infants as compared to older children? Bronchiolitis
Which of the following best describes PaO2? The pressure of oxygen dissolved in plasma.
While using the Sechrist IV-200 SAVI system, the practitioner notes that while the patient is breathing spontaneously, the ventilator is not synchronized to the patient's breaths. Which of the following is the most likely source of the problem? The sensitivity is improperly set.
The sensitivity is improperly set. Significant blood loss
What range of PEEP setting should be achieved when weaning a neonate from mechanical ventilation before extubation is considered? 3 to 5 cm H2O
On examination of a chest radiograph, you note an air pocket on the right lateral heart border. This indicates a possible: pneumomediastinum.
Which of the following drugs is used to maintain the patency of a ductus arteriosus for certain congenital heart defects? Alprostadil-prostaglandin E
When measuring maternal estriol levels, fetal distress is indicated when: estriol levels decrease 50 to 60% in maternal urine.
A problem with an umbilical artery catheter is that: it must be removed after several weeks use.
Which of the following statements are true? X-ray confirms the presence or absence of a disease process.
A higher systolic blood pressure in the right arm over either leg would indicate which of the following? Coarctation of the aorta
A safe range of PaO2 for neonates is ____________mm Hg. 50 - 70
Which of the following conditions may be identified by obstetric ultrasound? Pregnancy,Polyhydramnios, Fetal death
Which of the following is (are) inherited as autosomal-recessive traits? Kugelberg-Welander disease,Werdnig-Hoffman paralysis
A young patient presents in the ER with a history of a rapid onset of difficulty breathing. The patient complains of a severe sore throat and the voice is muffled. Which of the following would be appropriate at this time? Lateral neck x-ray
When using an infant ventilator, which two parameters most directly affect tidal volume? Peak inspiratory pressure, PEEP
Cytomegalovirus is most devastating to the developing fetus: in early gestation.
The release of mediators by eosinophils, neutrophils, macrophages, and lymphocytes is seen during: phase II of an asthma attack.
How is hypercapnic respiratory failure identified? An increased PaCO2.
Which of the following are indicative of TTN? tachypnea,cyanosis, normal PaO2 and PaCO2
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
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
Pulmonary hypoplasia is a common complication with which of the following birth defects? Congenital diaphragmatic hernia
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.
Sadness and its avoidance are found in which stage of grief? Stage IV
Survivors of respiratory distress syndrome who have developed bronchopulmonary dysplasia probably constitute a majority of ventilator-dependent children. True
Parents and family members may best be helped through grief by which of the following? Constant encouragement, Explanations of the care being given ,Allowing involvement in the care of the infant
Which of the following whole blood glucose levels is considered normal for an infant 72 hours after birth? 75 mg/dl
Created by: Cam1228