Chapter 8
Maintaining a neutral head position on a 24 week infant will help prevent:
a. ROP
b. CDH
c. IVH
D. PDA
c. IVH
What is one of the most noticeable physical findings in a newborn who presents with congenital diagrammatic hernia?
Scaphoid Abdomen
What is the treatment for macroglossia?
a) Tonsillectomy
b) Tongue reduction surgery
c) IV antibiotics
d) Incision and drainage
b) Tongue reduction surgery
A patient has developed a feeding intolerance. The patient has had an increased amount of gastric aspirates and blood in the stool as well as a distended abdomen. What is the most likely diagnosis?
NEC
What is the name of the midline defect involving herniated organs encapsulated by the peritoneal sac?
a) Omphalocele
b) Gastroschisis
c) Congenital Diaphragmatic Hernia
d) Necrotizing Enterocolitis
a) Omphalocele
You are assessing an infant that was just delivered. The infant presents with an obvious airway obstruction and paradoxical cyanosis, in which the infant turns pink when crying. What is the most likely diagnosis?
a) Pierre Robin
b) Macroglossia
c) Choanal atresia
d) Laryngomalacia
c) Choanal atresia
When managing a mechanically ventilator patient with intraventricular hemorrhage, what values should a registered respiratory therapist be most concerned with? (SELECT ALL THAT APPLY)
I. PaCO2
II. PaO2
III. pH
IV. HCO3
I. PaCO2
III. pH
What is the name of the congenital defect when the abdominal contents protrude through the wall, into the thoracic cavity?
CDH
Tracheoesophageal fistula should be suspected when an infant presents with which of the following symptoms? (SELECT ALL THAT APPLY)
I. Excessive drooling
II. Feedings that give way to respiratory distress
III. Absence of stridor or barking cough
IV. Accepting orogastric tube into stomach without incidence
I & II
Which of the following can be used in the management of an infant with necrotizing enterocolitis? Select all that apply:
I. Decompression of bowel
II. Replacement of blood products
III.IV antibiotics
IV. Total parenteral nutrition
V.IV prostaglandin inhibitor
I. Decompression of bowel
II. Replacement of blood products
III.IV antibiotics
IV. Total parenteral nutrition
Delivery room management for congenital diaphragmatic hernia consists of which of the following? (SELECT ALL THAT APPLY)
I. Expecting respiratory distress
II. Immediate PPV with a mask
III. Nasogastric tube placement
IV. 0.21 FiO2 application
I & III
A 2-hour-old term neonate became cyanotic after being placed supine following breast feeding. A respiratory therapist is called to assess and finds the neonate pink and crying in the mother's arms. The neonate's SpO2 is 96% and heart rate is 120/min. The specialist notices a small, recessed chin and mild respiratory distress. To maintain airway patency, the specialist should recommend
a) prone positioning and continued monitoring
b) insertion of an LMA
c) intubation and initiation of mechanical ventilation
d) placement of a nasal airway
a) prone positioning and continued monitoring
What laboratory tests are essential to diagnose the presence of necrotizing enterocolitis? Select all that apply:
I. Complete blood count
II. Basic metabolic panel
III. C-reactive protein
IV. Electrolyte panel
V. Clotting function
VI. Abdominal radiograph
VII. Blood cultures
I. CBC
III. CRP
IV. Electrolyte Panel
V. Clotting Function
VI. Abdominal Radiograph
Which of the following are potential clinical complications of CDH? (SELECT ALL THAT APPLY)
I. Malrotation
II. PDA
III. PFO
IV. Pulmonary hypoplasia
V. Hyperoxemia
VI. Pulmonary hypertension
I, II, III, IV, VI
An infant coughs and desats with every feeding. Based on this information, which of the following would you suspect the patient has?
a) CDH
b) TEF
c) Subglottic stenosis
d) Tracheomalacia
b) TEF