You are working as a respiratory therapist on the night shift in the NICU. You are called to the delivery room and find a newborn infant with signs of distress, including expiratory grunting and nasal flaring. A pulse oximeter is placed and shows a saturation of 90% on room air. A chest x-ray is or...
comprehensive perinatal & pediatric respiratory care
4th edition chapter 7 > 9, GRADED A+ 2023
You are working as a respiratory therapist on the night shift in the NICU. You are called to the delivery
room and find a newborn infant with signs of distress, including expiratory grunting and nasal flaring. A
pulse oximeter is placed and shows a saturation of 90% on room air. A chest x-ray is ordered. Which of
the following would you expect to find on the x-ray? correct answers o A "ground glass" appearance to
the lung fields
An urgent call comes from the emergency room notifying you of a 25-year-old woman, G2P1011 who
has been admitted for premature labor at 28 weeks' gestation. One of the best options to help reduce
the risk of RDS in the fetus if delivers is: correct answers o Administer glucocorticoids to the mother
You are asked to assess, at 1 month postpartum, a 32-week baby with a history of PDA, and 3 weeks on
a ventilator with high inspiratory pressures. The chances of the baby developing BPD is increased if
which of the following is also present? correct answers o A history of fluid overload
You are working with a 1-month-old neonate diagnosed with BPD. The Neonatologist has ordered an
increase in the caloric intake to the patient. Which of the following will need to be monitored closely?
correct answers o The possible need for increased oxygen demand
While examining the retina of an NICU patient, an ophthalmologist notes necrosis of the retinal vessels.
This condition is called: correct answers o Vaso-obliteration
Of the following, which is linked to the most unfavorable outcomes with ROP? correct answers o Stage 3
retinal injury in zone 1
During an assessment, a 31-week-gestation neonate is found to have bulging fontanelles, hypotension,
and a decreased hematocrit. A cranial ultrasound is ordered and shows bleeding into the germinal
matrix extending into the ventricles. This represents what grade of IVH? correct answers o Grade II
You are called stat to the delivery room with a report of meconium stained amniotic fluid. The neonate
is term. Upon delivery, you note that the infant has meconium on his skin. The recommend treatment is:
correct answers o Observation is all that is needed
You are called to the bedside of a 33-week-gestation neonate being mechanically ventilated. The peak
pressures have gone up and the patient is cyanotic, bradycardic, and hypotensive. Auscultation of the
lungs reveals diminished breath sounds. Your next step should be to? correct answers o Transilluminate
the chest
A routine chest x-ray of a 30-week-gestation neonate being mechanical ventilated shows evidence of
PIE? Which of the following strategies would best reduce harmful sequelae? correct answers o Maintain
as low of ventilation pressures as possible without compromising oxygenation and ventilation
A newborn is suspected of having PPHN. Which of the following tests is the most accurate in helping to
diagnose this disorder? correct answers o Chest x-ray with Doppler cardiac ultrasound
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