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(Download PDF) Neonatal and Pediatric Respiratory Care A Patient Case Method 1st Edition Perretta Test Bank Full Chapter
(Download PDF) Neonatal and Pediatric Respiratory Care A Patient Case Method 1st Edition Perretta Test Bank Full Chapter
(Download PDF) Neonatal and Pediatric Respiratory Care A Patient Case Method 1st Edition Perretta Test Bank Full Chapter
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Chapter 7 Common Neonatal Complications: Pulmonary Complications
Multiple Choice
1. What are the recommended initial nasal continuous positive airway pressures recommended by the
American Association of Respiratory Care Clinical Practice Guidelines for a neonate?
A. 4–5 cm H2O
B. 5–7 cm H2O
C. 7–8 cm H2O
D. 8–10 cm H2O
ANS: A
2. In the treatment of pneumonia, all of the following treatment options should be used except:
A. Antibiotic administration
B. Promoting hand washing
C. Bronchial hygiene therapy
D. Oxygen therapy
E. Surfactant delivery
ANS: C
3. Which of the following treatments should be used in the management of an infant who presents with a
simple pneumothorax?
A. Needle decompression
B. Thoracotomy
C. Chest tube
D. 100% oxygen hood
ANS: D
ANS: B
5. Clinical manifestations for respiratory distress syndrome include which of the following?
I. Tachypnea
II. Posturing
III. Tachycardia
IV. Hypertension
V. External retractions
VI. Chest radiograph reveals bell-shaped thorax as a result of generalized underaeration, lung volume is
reduced, and the lung parenchyma has a diffused reticulogranular pattern.
VII. Grunting
A. I, II, and IV
B. I, IV, and VI
C. I, V, and VII
D. I, II, V, and VII
E. I, II, III, IV, V, and VI
ANS: C
6. Prevention and early management of respiratory distress syndrome should progress to which of the
following guidelines of care?
I. Good bronchial hygiene
II. Frequent patient positioning
III. Arterial blood gas results obtained before making mechanical ventilation changes
IV. Prophylactic surfactant delivery
V. Pressure-volume loop interpretation essential
VI. Proper ventilator management
VII. Early withdrawal of noninvasive ventilation
A. II, IV, V, and VI
B. I, II, III, and IV
C. I, II, III, IV, and V
D. I, II, IV, V, and VI
E. I, II, III, IV, V, VI, and VII
ANS: D
ANS: B
ANS: B
9. Which of the following are guidelines when utilizing high-frequency jet ventilation (HFJV)?
I. To increase PaCO2, decreasing HFJV peak inspiratory pressure is the best option.
II. To increase PaCO2, increasing HFJV peak inspiratory pressure is the best option.
III. In the presence of atelectasis, decrease positive end-expiratory pressure and add intermittent
mandatory ventilation 5 to 10 breaths temporarily.
IV. In the presence of atelectasis, increase positive end-expiratory pressure and add intermittent
mandatory ventilation 5 to 10 breaths temporarily.
V. In the absence of atelectasis. increase FiO2.
VI. In the absence of atelectasis, decrease FiO2
VII. Monitor servo pressure changes.
A. I, III, V, and VII
B. I, IV, V, and VII
C. II, III, V1, and VII
D. II, IV, VI, and VII
ANS: B
10. Which of the following are considered risk factors for a pneumothorax?
I. Aspiration of meconium
II. Subcutaneous emphysema
III. Abdominal distention
IV. Pneumonia
V. Pulmonary interstitial emphysema
VI. Respiratory distress syndrome
VII. Mechanical ventilation
A. I, II, III, and IV
B. I, III, V, and VII
C. I, IV, VI, and VII
D. I, II, IV, and VI
ANS: C
ANS: D
12. What are the clinical manifestations of pneumopericardium?
I. Muffled or absent heart tones
II. Decreased arterial blood pressure
III. Tachycardia
IV. Bradycardia and hypoxia
V. Pulseless electrical activity
VI. Cyanosis
VII. Hypertension
A. I, IV, V, VI, and VII
B. I, III, IV, V, and VI
C. II, III, IV, V, and VI
D. I, II, IV, V, and VI
ANS: D
13. Which of the following are organisms that predispose infants to pneumonia?
I. Group B streptococci
II. Staphylococcus aureus
III. Cytomegalovirus
IV. Chlamydia trachomatis
V. Listeria monocytogenes
VI. Group A streptococci
VII. Gram-negative enteric bacteria
A. I, II, III, IV, and VII
B. I, III, IV, V, and VII
C. II, III, V, VI, and VII
D. I, II, III, IV, V, VI, and VII
ANS: B
ANS: C
Multiple Response
15. How can a registered respiratory therapist minimize pressure delivered to the lungs while
administering mechanical ventilation to an infant?
I. Decrease peak inspiratory pressure, increase positive end-expiratory pressure, and increase I-time.
II. Increase peak inspiratory pressure, increase positive end-expiratory pressure, and increase I-time.
III. Decrease peak inspiratory pressure, positive end-expiratory pressure, and I-time as tolerated.
IV. Use volume-targeted ventilation.
V. Avoid auto-positive end-expiratory pressure.
VI. Use controlled mandatory ventilation, which is the preferred method over high-frequency ventilation.
A. III, IV, and V
B. I, IV, and VI
C. I, V, and VI
D. II, IV, and VI
ANS: A
True/False
16. Re-intubation and mechanical ventilation should be based only on chest radiograph evidence.
ANS: False
17. The administration of surfactant to infants less than 28 weeks of gestation has not significantly
decreased infant mortality rates associated with pneumothorax.
ANS: False
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