Clinical Manifestations Common With Newborn And Early Childhood Respiratory Dis
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- The Patient InterviewThe Physical Examination and Its Basis in PhysiologyPulmonary Function Study AssessmentsArterial Blood Gas AssessmentsOxygenation AssessmentsCardiovascular System AssessmentsRadiologic Examination of the ChestOther Important Tests and ProceduresThe Therapist-Driven Protocol Program and the Role of the Respiratory TherapistRespiratory Failure and the Mechanical Ventilation ProtocolRecording Skills: The Basis for Data Collection, Organization, Assessment SkillChronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and EmphysemaAsthmaBronchiectasisCystic FibrosisPneumoniaLung AbscessTuberculosisFungal Diseases of the LungPulmonary EdemaPulmonary Vascular Disease: Pulmonary Embolism and Pulmonary HypertensionFlail ChestPneumothoraxPleural Effusion and EmpyemaKyphoscoliosisInterstitial Lung DiseasesCancer of the LungAcute Respiratory Distress SyndromeGuillain-Barré SyndromeMyasthenia GravisSleep ApneaClinical Manifestations Common with Newborn and Early Childhood Respiratory DisMeconium Aspiration SyndromeTransient Tachypnea of the NewbornRespiratory Distress SyndromePulmonary Air Leak SyndromesRespiratory Syncytial Virus (Bronchiolitis or Pneumonitis)Bronchopulmonary DysplasiaCongenital Diaphragmatic HerniaCongenital Heart DiseasesCroup Syndrome: Laryngotracheobronchitis and Acute EpiglottitisNear Drowning/Wet DrowningSmoke Inhalation, Thermal Injuries, and Carbon Monoxide IntoxicationAtelectasis
Question 1
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Multiple Choice
An infant in respiratory distress will often generate a high negative intrapleural pressure during inspiration. In comparison to an adult, this will result in all of the following EXCEPT:
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cyanosis of dependent thoracic areas.
"seesaw" breathing pattern.
alveolar hyperinflation.
intercostal retractions.
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Question 2
Free
Multiple Choice
A neonate in respiratory distress will often dilate his or her nostrils to:
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facilitate inspiration.
nurse more easily.
sneeze out amniotic fluid.
raise the intrapleural pressure.
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Question 3
Free
Multiple Choice
A neonatal patient is found to have grunting on expiration. What physiologic effect does this produce?
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Increased vital capacity
Increased PAO2
Decreased PaCO2
Closes the ductus arteriosus
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Question 4
Free
Multiple Choice
Apneic episodes in a premature neonate can be caused by all of the following EXCEPT:
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epiglottitis.
immature central nervous system.
immature airway receptors.
immature chemoreceptors.
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Question 5
Free
Multiple Choice
PPHN usually appears:
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in utero during the last trimester.
within 1 hour of birth.
within the first 12 hours of birth.
between the 1st and 6th days of life.
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Question 6
Multiple Choice
A neonatal patient has PPHN. What may develop as a consequence of this?
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Cardiomegaly
Pulmonary embolism
Mucosal edema
Cardiac tamponade
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Question 7
Multiple Choice
A newborn is flaccid and apneic, has a cyanotic body and a heart rate of 85/min, and shows no reaction to stimulation. Her Apgar score would be:
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8.
5.
2.
1.
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Question 8
Multiple Choice
A newborn's 5-minute Apgar score is 7. How should this be interpreted?
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Normal adjustment to being born
Moderate distress; intubate the airway and suction the lungs
Moderate distress; administer supplemental oxygen
Severe distress; begin bag-mask resuscitation
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Question 9
Multiple Choice
A premature infant is found to be "bobbing" her head. This is important because it can be a sign of which of the following?
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Hypoxemia
Renal failure
Intracranial hemorrhage
Respiratory distress
Septic shock
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Question 10
Multiple Choice
A premature infant has two pulse oximeters placed: one on the right hand and one on the left foot. The respiratory therapist notes that the reading on the right hand is consistently 12% greater than the reading on the left foot. Which of the following is the best interpretation of this finding?
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The infant has left-sided intra-pulmonary shunting.
The infant likely has pneumonia.
The infant is in septic shock with systemic capillary shunting.
The infant has persistent pulmonary hypertension of the newborn.
The infant has shunting across the ductus venosus.
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Question 11
Multiple Choice
A premature infant is suspected of having persistent pulmonary hypertension of the newborn. How is this diagnosis confirmed?
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Arterial blood gas analysis
Chest radiography
Pulmonary angiography
Echocardiography
Cardiac catheterization
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