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Question 1
Free
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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A

cyanosis of dependent thoracic areas.

B

"seesaw" breathing pattern.

C

alveolar hyperinflation.

D

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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A

facilitate inspiration.

B

nurse more easily.

C

sneeze out amniotic fluid.

D

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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A

Increased vital capacity

B

Increased PAO2

C

Decreased PaCO2

D

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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A

epiglottitis.

B

immature central nervous system.

C

immature airway receptors.

D

immature chemoreceptors.

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Question 5
Free
Multiple Choice

PPHN usually appears:

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A

in utero during the last trimester.

B

within 1 hour of birth.

C

within the first 12 hours of birth.

D

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?

Choose correct answer/s
A
Cardiomegaly
B
Pulmonary embolism
C
Mucosal edema
D
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:

Choose correct answer/s
A
8.
B
5.
C
2.
D
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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A
Normal adjustment to being born
B
Moderate distress; intubate the airway and suction the lungs
C
Moderate distress; administer supplemental oxygen
D
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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A
Hypoxemia
B
Renal failure
C
Intracranial hemorrhage
D
Respiratory distress
E
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?

Choose correct answer/s
A
The infant has left-sided intra-pulmonary shunting.
B
The infant likely has pneumonia.
C
The infant is in septic shock with systemic capillary shunting.
D
The infant has persistent pulmonary hypertension of the newborn.
E
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?

Choose correct answer/s
A
Arterial blood gas analysis
B
Chest radiography
C
Pulmonary angiography
D
Echocardiography
E
Cardiac catheterization
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