stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
RESP 3320 Flashcards | StudBud
Explore
/
RESP 3320
RESP 3320
46 terms
·
StudBud Administration
·
6 plays
Imported from external platform
Flashcards
46 cards
F
Practice quiz
P
Host live
L
Questions
46
Answers
1
What positive end expiratory pressure level is commonly used in pediatric patients during mechanical ventilation?
1 to 3 cm H2O
10 to 12 cm H2O
5 to 8 cm H2O
3 to 5 cm H2O
2
An infant has been intubated and a chest X-ray is taken. Which of the following confirms proper placement of the tube?
Tube tip is between the carina and the 6th intercostal space
Tube tip is between the clavicles and the carina
Tube tip is between the vocal cords and the clavicle
Tube tip is 2cm below the carina
3
Which of the following statements is true regarding the infant airway and intubation?
Never use the patient's weight to determine insertion depth of ET tubes
Flexion of the head can move the ET tubes into the right mainstem
Most neonatal ET tubes are cuffed
The epiglottis is anatomically lower in infants
4
A woman who is gravida 4, para 3 is one who ___________.
Has been pregnant 4 times, miscarried once and had 2 live births
Has been pregnant 7 times, 4 live births and 3 miscarriages
Has been pregnant 4 times and had 3 live births
Has been pregnant 3 times and had one multiple birth
5
Which of the following clinical findings is not typically seen in patients with epiglottitis?
Stridor
High fever
Barking cough
Drooling
6
What FIO2 should be used in neonates prior to endotracheal suctioning?
Low FIO2 to prevent retinopathy of prematurity
FIO2 10% to 20% higher
Same FIO2 on the ventilator
Always 100%
7
What is the definition of abruptio placentae?
Separation of the placenta from the uterus before delivery
A defect in the abdominal wall that involves the membrane of the placenta
A placenta that ceased its development abruptly
Attachment of the placenta lower in the uterus
8
A 2100-gram newborn requires intubation. What size endotracheal tube would you select?
3.0 mm
2.5 mm
4.0 mm
3.5 mm
9
What is the suction pressure for neonates?
-70 to -100 mmHg
-30 to -50 mmHg
-20 to -60 mmHg
-60 to -80 mmHg
10
Under what circumstances is the administration of surfactant indicated?
PG of 2%
Hours after birth if infant does not have clinical signs of RDS
When infant shows signs of RDS
Preterm infant with L/S ratio of 3:1
11
What percentage of births will present with meconium-stained amniotic fluid?
12%
50%
25%
2%
12
Which of the following would you use to administer a bronchodilator to a 15-day-old baby who is spontaneously breathing?
SVN
MDI
This patient is too young to receive bronchodilator therapy
DPI
13
What is the normal arterial PO2 in healthy infants?
>50 mm Hg
>60 mm Hg
>30 mm Hg
>40 mm Hg
14
CPAP Levels are adjusted in which of the following increments?
4 to 5 cm H2O
1 to 2 cm H2O
2 to 3 cm H2O
3 to 4 cm H2O
15
Another name for respiratory distress syndrome (RDS) is:
Persistent pulmonary hypertension
Transient tachypnea of the newborn
Hyaline membrane disease
Type II RDS
16
Which of the following infant characteristics is associated with an increased risk of SIDS?
High Apgar score
Preterm birth
Full-term birth
Female gender
17
Which, if any, of the following are initial CPAP level settings?
4 to 5 cm H2O
5 to 7 cm H2O
3 to 4 cm H2O
None of the above
18
Select from the following the correct way to administer surfactant:
Nebulized with 3 cc normal saline
Direct tracheal instillation
Intramuscular injection
Intravenously
19
Which of the following is the most common radiographic finding that suggests thepresence of croup?
Thumb sign
Steeple sign
Sail sign
Flail chest
20
What is the best strategy in the management of BPD?
Prevention
Aggressive mechanical ventilation
PEEP
Adequate fluid management
21
What size ETT would you give to a 3500 gram baby?
2.0
2.5
4.0
3.0
22
What initial inspiratory time range would you set for a term newborn infant being placed on pressure-limited ventilation
0.20 to 0.40 sec
0.30 to 0.50 sec
0.50 to 0.70 sec
0.70 to 1.00 sec
23
What positive end-expiratory pressure level is typically used during mechanical ventilation?
2 to 3 cm H2O
1 to 2 cm H2O
8 to 10 cm H2O
5 to 6 cm H2O
24
What is usually the first clinical sign of RDS in the newborn infant?
Hypertension
Wheezing
Cyanosis
Tachypnea
25
The triggering device for infant ventilators that is placed on ventilator circuit proximal to the airway is called_____.
Pneumotachygraph
Manometer
Pressure Gauge
CO2 Manometer
26
What is the maximum PIP that should be used with mechanical ventilation of larger premature infant to prevent volutrauma
30 cm H2O
25 cm H2O
40 cm H2O
50 cm H2O
27
Surfactant is produced by what types of cells?
Lamellar bodies
Type II alveolar cells
Type III alveolar cells
Type I alveolar cells
28
Which of the following methods is useful in determining gestational age of the newborn?
Dubowitz
Apgar
Perkinson
Adams
29
Which of the following clinical findings are usually seen in meconium aspiration syndrome?
Respiratory alkalosis
Metabolic acidosis
Tachypnea and grunting
Irregular pulmonary densities on the chest film
30
Which tidal volume range is considered generally safe for ventilation in a patient with normal lung compliance?
4 to 5 ml/kg
2 to 3 ml/kg
10 to 12 ml/kg
6 to 8 ml/kg
31
Which of the following are methods for administration of CPAP on infants?
Nasal Pillows
Short nasal prongs
Nasal Mask
Short Nasal Prongs & Nasal Mask
32
Exposure to supplemental oxygen in a premature infant is a risk factor for developing which of the following?
Retinopathy of prematurity (ROP)
Apnea of prematurity (AOP)
Sudden infant death syndrome (SIDS)
Primary pulmonary hypertension of the newborn (PPHN)
33
Which of the following techniques is used to assess the state of pulmonary maturity before birth?
Maternal history
Ultrasonography
Blood gas analysis
Amniocentesis
34
Which surfactant preparation is made from porcine (pig) lung tissue?
Infasurf
Curosurf
Survanta
Babysurf
35
CPAP is indicated in which of the following patients?
PaO2 39 mmHg on FiO2 0.80; PaCO2 47 mmHg; pH 7.26
PaO2 56 mmHg on FiO2 0.55; PaCO2 44 mmHg; pH 7.36
PaO2 65 mmHg on FiO2 of 0.45; (ECMO); PaCO2 45 mmHg; pH 7.38
PaO2 32 mmHg on FiO2 1.0; PaCO2 65 mmHg; pH 7.19
36
What is the most common form of High Frequency Ventilation?
High-frequency percussive ventilation
High-frequency oscillatory ventilation
High-frequency peep ventilation
High-frequency jet ventilation
37
What is associated with ball-valve obstruction in meconium aspiration syndrome?
Hypertension
Atelectrauma
Volutrauma
Hypotension
38
Which of the following is an example of an internal obstruction to the infant’s airway?
Vascular rings
Laryngomalacia
Neck mass
Tracheoesophageal fistula
39
Using the L/S ratio to determine fetal lung maturity, which of the results indicates that the infant is at risk for RDS?
3.5:1
1.9:1
4:1
2.8:1
40
An abdominal defect that involves the insertion of the umbilical cord is which of the following?
Omphalocele
Gastroschisis
Inguinal hernia
Agenesis of abdominal muscles
41
What is believed to be the cause of transient tachypnea of the newborn (TTN)?
Immature surfactant
Delayed clearance of fetal lung fluid
Persistent hypoxemia
Persistent fetal circulation
42
What physiologic abnormality is believed to be the cause of persistent pulmonaryhypertension in the newborn (PPHN)?
High cardiac output
Metabolic acidosis
Left-to-right shunting
High pulmonary vascular resistance
43
Which of the following clinical signs are common with croup?
Coughing
Cyanosis
Murmur
Stridor
44
Which of the following maternal characteristics are associated with an increased frequency of SIDS?
Cigarette smoking
History of asthma
Low socioeconomic status
Younger than 20 years
45
You detect a bounding peripheral pulse on a newborn infant. Based on this finding, whatshould you suspect?
Peripheral vasodilation
Coarctation of the aorta
Peripheral vasoconstriction
Patent ductus arteriosus
46
A new born patient on INO is being weaned from 20ppm. How many ppm should the RT titrate to?
10 ppm
18 ppm
12 ppm
15 ppm
