Deck 33: Transient Tachypnea of the Newborn

Question 1

During the physical exam of a patient with TTN, what respiratory rate is usually found?

A) 80 to 120/min
B)60 to 80/min
C)30 to 60/min
D)Less than 30/min

Answer 1

80 to 120/min

Question 2

The major pathologic and structural changes associated with TTN include:
1) decreased removal of fluid by pulmonary lymphatics.
2) air trapping.
3) pleural effusion.
4) atelectasis.

A)1, 2
B)3, 4
C)1, 2, 3
D)2, 3, 4

Answer 2

1, 2

Question 3

An infant with a mild case of TTN will show the following arterial blood gas value(s):
1) increased pH
2) decreased pH
3) low PaO₂.
4) low PaCO₂.

A)4
B)3, 4
C)2, 3
D)1, 3, 4

Answer 3

1, 3, 4

Question 4

Usually TTN will begin to resolve within what time period?

A) 4 to 6 hours
B)12 to 24 hours
C)About 48 hours
D)Greater than 72 hours

Question 5

In reviewing the chart of your neonatal patient who has developed TTN, what is a likely finding related to the Apgar score?

A) The 1 and 5 minute scores are good.
B)The 1 minute score is good and 5 minute score is bad.
C)The 1 minute score is bad and 5 minute score is good.
D)Both scores are bad.

Question 6

Risk factors for the development of TTN include:
1) maternal diabetes.
2) male gender.
3) maternal bleeding.
4) breech delivery.

A)1, 3
B)2, 4
C)1, 3, 4
D)1, 2, 3

Question 7

Twelve hours after an infant has developed TTN its chest radiograph will probably show all of the following, EXCEPT:

A) air bronchograms.
B)fluid in the interlobular fissures.
C)elevated diaphragms.
D)prominent perihilar streaking.

Question 8

The causes of TTN include:
1) the mother having cystic fibrosis.
2) infant's hypoxemia.
3) mother's hypoxemia.
4) inadequate inspiratory effort.

A)1, 3
B)2, 4
C)2, 3, 4
D)1, 2, 3

Question 9

Initially, TTN will have a clinical presentation similar to:

A) the early stage of respiratory distress syndrome (RDS).
B)the late stage of respiratory distress syndrome (RDS).
C)bronchial pneumonia.
D)meconium aspiration syndrome (MAS).

Question 10

Which of the following is the most likely to be utilized in the management of a patient with TTN?

A) Lung expansion therapy
B)Oxygen therapy
C)Mechanical ventilation
D)Bronchopulmonary hygiene therapy

Question 11

Your infant patient has TTN. What clinical manifestations are associated with the more negative intrapleural pressures needed during inspiration?
1) Thick, tenacious secretions
2) Intercostals retractions
3) Nasal flaring
4) Mediastinal shift

A)1, 3
B)2, 3
C)2, 3, 4
D)1, 2, 3, 4

Question 12

A newborn is suspected of having TTN. If this is true, what will the initial chest radiograph show?

A) Normal lung fields
B)Hyperlucency
C)Flattened diaphragms
D)Bulging intercostal spaces

Question 13

In the first few hours after birth, TTN manifests itself clinically as:

A) a restrictive pulmonary disorder.
B)an obstructive pulmonary disorder.
C)equally restrictive and obstructive disorder.
D)obstructive initially and restrictive later.

Question 14

All of the following are usually performed in the general management of a patient with TTN, EXCEPT:

A) close monitoring.
B)give a diuretic medication.
C)proper stabilization.
D)rule out of other serious conditions.

Question 15

The breathing pattern seen in a patient with TTN includes:
1) normal rate.
2) rapid rate.
3) higher than normal tidal volume.
4) shallow tidal volume.

A)1, 3
B)2, 3
C)2, 4
D)1, 4