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Book 4 Unit 4
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of the following measurements cannot be adjusted independently on most infant ventilators?
A. Peak airway pressure
B. End-expiratory pressure
C. lnspiratory time
D. Inspired oxygen concentration
E. Expiratory resistance
Which of the following measurements is least reliable for determining the need for mechanical ventilation?
A. Capillary Pco2
B. Capillary Po2
C. Arterial pH level
D. Arterial Pco2
E. Arterial Po2
Which of the following statements is correct when determining ventilator settings for a baby with respiratory distress syndrome when compared to a baby with normal lung findings?
A. End-expiratory pressure should be higher.
B. lnspiratory time should be shorter.
C. Expiratory time should be longer.
D. Peak inspiratory pressure should be lower.
In which of the following cases is mechanical ventilation most indicated?
A. A 3,500-g (7 lb 11 oz) baby with congenital pneumonia who is breathing 50% oxygen and has a Pao2 of 60, Paco2 of 48, and pH level of 7.28
B. A 1,500-g (3 lb 5 oz) baby with respiratory distress syndrome who is breathing 80% oxygen and has a Pao2 of 45, Paco2 of 65, and pH level of 7.28
C. A 1,000-g (2 lb 3 oz) baby with no lung disease who has an apneic spell that responds to tactile stimulation
D. A 3,000-g (6 lb 10 oz) baby who had severe perinatal compromise and has a Pao2 of 70, Paco2 of 25, and pH level of 7.20 while breathing 21% oxygen
Which of the following statements is correct when determining ventilator settings for a term baby with meconium aspiration when compared to a preterm baby with respiratory distress syndrome?
A. lnspiratory time should be longer.
B. Expiratory time should be shorter.
C. End-expiratory pressure should be higher.
D. Ventilatory rate should be faster.
Which of the following measurements is least likely to suggest a blocked endotra cheal tube?
A. Poor chest movement
B. High Paco2
C. High pH level
D. Low Pao2
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