Chapter 48 Neonatal and Pediatric Respiratory Care

Chapter 48  Neonatal and Pediatric Respiratory Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following maternal factors is/are related to the health of the fetus and the outcomes of pregnancy?
1. maternal age
2. prior maternal disease
3. maternal drug use
4. maternal birth history
a.
1, 2, and 3
b.
2 and 4
c.
1, 2, 3, and 4
d.
3 and 4

ANS: C
Table 48-1 lists maternal conditions and specific anticipated fetal or neonatal outcomes related to the conditions.

DIF: Recall REF: p. 1229 OBJ: 1

2. Which of the following techniques would you recommend to assess the state of pulmonary maturity before birth?
a.
blood gas analysis
b.
ultrasonography
c.
maternal history
d.
amniocentesis

ANS: D
Lung maturation can be assessed with amniocentesis.

DIF: Recall REF: p. 1229 OBJ: 1

3. Temporary drops in the fetal heart rate during uterine contractions are known as:
a.
fetal stress
b.
decelerations
c.
primary apnea
d.
secondary bradycardia

ANS: B
Temporary drops in fetal heart rate are called decelerations and can be mild (less than 15 beats/mine), moderate (15 to 45 beats/min), or severe (greater than 45 beats/min). Decelerations are classified by their occurrence in the uterine contraction cycle.

DIF: Recall REF: p. 1229 OBJ: 1

4. Late decelerations are consistent with which of the following conditions?
1. uteroplacental insufficiency
2. umbilical cord compression
3. normal contraction
4. maternal bradycardia
a.
1 and 2
b.
2 and 3
c.
3 and 4
d.
1, 2, 3, and 4

ANS: A
A late deceleration pattern indicates impaired maternal-placental blood flow, or uteroplacental insufficiency.

DIF: Recall REF: p. 1229 OBJ: 1

5. Which of the following pH values is associated with fetal asphyxia?
a.
<7.1
b.
<7.2
c.
<7.3
d.
<7.4

ANS: C
A pH below 7.20 may indicate that the fetus is experiencing asphyxia.

DIF: Recall REF: p. 1230 OBJ: 1