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Neonatal Sec. A quiz
quiz
| Question | Answer |
|---|---|
| An APGAR score of 4 indicates? a. normal infant b. no depression c. moderate depression d. severe depression | c. moderate depression |
| An infection in a newborn is more commonly associated with a. normal body temperature b. hypothermia c. hyperthermia d. decreased O2 consumption | b. hypothermia |
| L/S ratio of 3:1 indicates a. high risk infant b. low incidence of HMD c. respiratory distress will be present d. infant who is small for gestational age | b. low incidence of HMD |
| Which of the following would indicate a normal sweat chloride test? a. 30 mEq/L b. 70 mEq/L c. 100 mEq/L d. 150 mEq/L | a. 30 mEq/L |
| All of the following are transplacental infections EXCEPT a. gonorrhea b. rubella c. syphilis d. cytomegalovirus | a. gonorrhea |
| treatment for toxemia includes 1. bed rest 2. diet 3. salt restriction a. 1 only b. 2 only c. 1 & 2 d. 1 & 2 & 3 | d. 1 & 2 & 3 |
| Which method of anesthetic administration would produce respiratory depression in an infant? a. local b. epidural c. general d. spinal | c. general |
| Transient tachypnea of the newborn typically occurs due to a. delayed removal of fetal lung fluid b. PNX c. low birth weight d. hyperglycemia | a. delayed removal of fetal lung fluid |
| normal fetal HR a. 80 - 100/minute b. 100 - 120/minute c. 110 -160/minute d. 160 - 200/minute | c. 110 - 160/minute |
| Prolonged rupture of amniotic membranes may result in a. neonatal sepsis b. meconium aspiration c. persistent fetal circulation d. jaundice | a. neonatal sepsis |
| Dubowitz method is used to determine the a. degree pf respiratory distress b. fetal gestational age c. need for resuscitation d. presence of maternal antibodies | b. fetal gestational age |
| Periodic breathing is defined as a. cessation of breathing for >10 sec b. episodes of apnea <10 sec alternating with normal breathing c. rapid breathing alternating with normal breathing d. shallow breathing alternating with deep rapid breathing | b. episodes of apnea less than 10 seconds alternating with normal breathing |
| Pre- and post-ductal blood gas studies are preformed to evaluate a. R to L shunting b. L to R shunting c. neonatal jaundice d. coarctation of aorta | a. R to L shunting |
| at 33.3 degrees Celsius, newborn will require a. normal amount of O2 for survival b. twice as much oxygen c. three times as much oxygen d. four times as much oxygen | c. three times as much oxygen |
| When clubbing of the fingers or toes is present a. fingers or toes become enlarged due to acute hypoxia b. loss of mobility of digits due to hypercarbia c. angle of nail bed is increased d. polycythemia due to heart disease is also present | a. angel of nail bed is increased |
| Which of the following conditions could cause acrocyanosis 1. anemia 2. polycythemia 3. hypothermia 4. hyperthermia a. 1&3 b. 2&4 c. 1&4 d. 3 only | d. 3 only (hypothermia) |
| Respiratory grunting is a sound heard at end of a. inspiration just before rapid expiration b. expiration just before rapid inspiration c. inspiration just before normal expiration d. expiration just before normal inspiration | b. expiration just before rapid inspiration |
| Transillumination of chest is recommended when neonatal-pediatric specialist suspects presence of a. tension pneumothorax b. tracheoesophageal fistula c. myelomeningocele d. pleural effusion | a. tension PNX |
| Poor femoral pulses may indicate a a. patent ductus arteriosus b. ventricular septal defect c. coarctation of aorta d. hypoplastic left heart | c. coarctation of the aorta |
| Vibrations that are felt on chest wall due to secretions is a. vocal fremitus b. rhonchi c. rales d. tactile fremitus | d. tactile fremitus |
| Optimum chest tube placement for an infant with a PNX is in the a. anterior chest b. lateral chest c. posterior chest d. inferior chest | a. anterior chest |
| What is pulmonary interstitial emphysema a. air dissecting upward into the soft tissues of the neck b. trapped collections of air in the acinus portion of the lung c. air released into the tissues surrounding bronchi d. an airless section of the lung | c. air released into the tissues surrounding the bronchi |
| A pleural effusion is best demonstrated by a. 2 right angle radiographs b. PA and AP films c. a lateral decubitus film d. a lateral neck film | c. lateral decubitus film' |
| An A-P chest radiograph of a newborn reveals an egg-shaped cardiac silhouette, consistent with a. total anomalous pulmonary venous return b. tetralogy of fallout c. trans position of the great vessels d. ventricular septal defect | c. transposition of the great vessels |
| Wheezing is associated with all EXCEPT a. epiglottitis b. HMD c. asthma d. BPD | a. epiglottitis |
| All of the following will cause mediastinum to shift away from pathology EXCEPT a. diaphragmatic hernia b. atelectasis c. PNX d. pleural effusion | b. atelectasis |
| Diaphragmatic apex below the 6th rib is consistent with a. pleural effusion b. under aeration c. pneumothorax d. diaphragmatic hernia | c. PNX |
| Fiberoptic light is placed on infants L chest and no light is seen, this would indicate a. right hemidiaphragm is absent b. right PNX c. pneumomediastinum present d. left hemidiaphragm is herniated | d. left hemidiaphragm is herniated |
| Pregnant mother reports that Oct. 16 was the first day of her last menstruation, when is the due date a. January 9th b. March 31 c. July 23 d. September 16 | c. July 23 |
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NemesisG
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