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RSPT 2210 UNIT 4 STUDY GUIDE QUESTIONS & ANSWERS SOLVED 100% CORRECT!!
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RSPT 2210 UNIT 4 STUDY GUIDE QUESTIONS & ANSWERS SOLVED 100% CORRECT!!
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RSPT 2210 UNIT 4STUDY GUIDE
QUESTIONS &
ANSWERS SOLVED
100% CORRECT!!
RSPT 2210
Evatee 10/20/24 RSPT 2210
,RSPT 2210 UNIT 4 STUDY GUIDE QUESTIONS
& ANSWERS SOLVED 100% CORRECT!!
All of the following anatomic alterations may be found in a patient with a
congenital diaphragmatic hernia EXCEPT: Answer - hyperinflation
What pulmonary change is associated with a Bochdalek hernia? Answer -
Pulmonary hypoplasia
When does respiratory distress normally develop in a newborn with a CDH?
Answer - Shortly after delivery
What happens as an infant with a CDH creates an increased negative
inspiratory pressure in order to breathe? Answer - More of the gastrointestinal
structures are sucked into the thorax.
Which of the following are major pathologic and structural changes associated
with a CDH?
1. Reduced numbers of bronchial generations and alveoli
2. Complete lung collapse
3. Atelectasis
4. Mediastinal shift Answer - 1, 2, 3, 4
The prognosis of an infant with a diaphragmatic hernia depends on which of
the following factors?
1. Success of the surgical diaphragmatic closure
2. Size of the diaphragmatic defect
,3. Condition of the lung on the unaffected side
4. Degree of hypoplasia Answer - 1, 2, 3, 4
In the delivery room, which of the following are recommended to manage a
newborn with a CDH?
1. Administer oxygen.
2. Begin bag and mask manual ventilation.
3. Intubate and ventilate the neonate.
4. Place the newborn in the Trendelenburg position. Answer - 1, 3
What initial ventilator setting(s) would be recommended for a newborn with a
CDH?
1. PEEP of 2-3 cm H2O
2. FIO2 of 1.0
3. Peak inspiratory pressure of 18-20 cm H2O
4. Respiratory rate of 40 breaths/min Answer - 1, 2, 3, 4
What additional procedures or treatments might be required for a patient with
a CDH and significant pulmonary hypoplasia? Answer - ECMO
An infant with a CDH also has pulmonary hypertension. Which of the following
can be administered to relieve this problem? Answer - Inhaled nitric oxide
(iNO)
Which of the following auscultation findings would be associated with a CDH?
1. Bilateral bruits
2. Apical heartbeat heard over the unaffected side
3. Absent breath sounds over the affected area
, 4. Bowel sounds over the affected area Answer - 2, 3, 4
A newborn infant shows respiratory distress upon delivery. He is observed to
have a scaphoid abdomen. Auscultation reveals diminished breath sounds with
heart sounds on the right side of the chest. What is the infant's most likely
diagnosis? Answer - CDH
What effect would a substantial left-sided CDH have on pulmonary function
test findings? Answer - A restrictive pulmonary disorder
All of the following chest radiograph findings would be associated with a CDH
EXCEPT: Answer - steeple point sign
What is the medical term for the condition associated with some cases of CDH
in which the heart is pushed to the right side of the chest? Answer -
Dextrocardia
Which of the following is described as abnormal elevation of an intact
diaphragm into the chest cavity? Answer - Diaphragmatic eventration
Why would bag and mask ventilation be contraindicated in resuscitation of a
neonate with CDH? Answer - It results in air swallowing, which enlarges the
stomach and compresses lung tissue.
According to the NHLBI, what is the most common type of birth defect?
Answer - Congenital heart defects
Which of the following are considered to be noncyanotic defects?
1. PDA
2. ASD
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