Deck 12: Respiratory Conditions

Question 1

The second stage of the transitional period of a newborn is the

A) First period of reactivity
B) Second period of reactivity
C) Period of decreased responsiveness
D) Period of increased responsiveness

Answer 1

Period of decreased responsiveness

Question 2

Which is a physiological change associated with a newborn's initial respiratory efforts?

A) Blood vessel resistance decreases.
B) Inflation of the lungs occurs.
C) Circulatory resistance to the lungs increases.
D) Amniotic fluid in the lungs increases.

Answer 2

Inflation of the lungs occurs.

Question 3

Which is a true statement regarding surfactant in a fetus?

A) It is made by type I alveolar cells.
B) It is considered a phospholipoprotein.
C) It is produced starting at 30 weeks' gestation.
D) It increases airway surface tension.

Answer 3

It is considered a phospholipoprotein.

Question 4

Impairment in oxygenation can cause

A) Retention and increase in oxygen and decreased carbon dioxide levels
B) Retention and decrease in oxygen and increased carbon dioxide levels
C) Retention and decrease in carbon dioxide and increased oxygen levels
D) Retention and increase in carbon dioxide and decreased oxygen levels

Question 5

A visual assessment of the newborn's respiratory system should include all of the following except

A) Chest symmetry
B) Respiratory rate and depth
C) Auscultation of lungs
D) Use of accessory muscles

Question 6

A newborn's parents are panicked and call the nurse in to check on their child, who is breathing irregularly and has 10-second periods of apnea. The nurse should

A) Call the provider immediately
B) Begin CPR
C) Perform bulb suction
D) Reassure the parents that this is a normal finding

Question 7

What is the diagnostic study performed to visualize fluid in or around the lungs or air surrounding the lungs?

A) Chest x-ray
B) Cardiac ultrasonography
C) Cardiac catheterization
D) Oxygen saturation

Question 8

Which test assesses the level of oxygen in the capillaries?

A) Arterial blood gas
B) Serum blood test
C) Oxygen saturation
D) Pulmonary function test

Question 9

Which is a nonpharmacological method that is used to provide a heart-lung bypass outside of the newborn's body?

A) Inhaled nitric oxide (iNO) therapy
B) Extracorporeal membrane oxygenation (ECMO)
C) Warm, humidified oxygen delivery
D) Peripherally inserted central catheter (PICC) line

Question 10

Signs of respiratory compromise in a newborn include all of the following except

A) Grunting
B) Increase in stooling and voiding
C) Elevation in temperature
D) Excessive crying

Question 11

A neonatal factor that increases abnormal newborn transitioning is:

A) Gestational diabetes
B) Intrauterine growth restriction
C) Apgar score of 0-4 at 1 minute of life
D) Tobacco, alcohol, or illegal substance abuse

Question 12

Treatment of which disorder(s) may require ECMO and iNO therapy?

A) Persistent pulmonary hypertension in the newborn (PPHN)
B) Respiratory distress syndrome (RDS)
C) Transient tachypnea of the newborn (TTN)
D) All of the above

Question 13

Inadequate surfactant is the etiology of which condition?

A) Persistent pulmonary hypertension in the newborn (PPHN)
B) Transient tachypnea of the newborn (TTN)
C) Respiratory distress syndrome (RDS)
D) Meconium aspiration syndrome (MAS)

Question 14

The nurse should monitor serum potassium levels for hyperkalemia and ABGs for alkalosis after administering which class of medication?

A) Antibiotics
B) CNS stimulants
C) Sterile nonpyrogenic pulmonary surfactants
D) Alkalizing agents

Question 15

When referring to Case Study 3: Newborn Nutrition, at what age should an infant begin to gain weight at a rate of 1 ounce per day or up to 8 ounces per week?

A) 2 months
B) 4 months
C) 6 months
D) 8 months