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Book 4 Unit 3

Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.

Which of the following is an appropriate way to provide nutrition to babies who need continuous positive airway pressure (CPAP) for acute respiratory disease who have achieved cardiovascular stability?

A. Intravenous fluids
B. Tube feedings
C. Nipple feedings with a special nipple
D. None of the above

For which of the following babies would CPAP be most appropriate?

A. Post-term baby with choanal atresia
B. Preterm baby who is cyanotic because of congenital heart disease
C. Term baby with a pneumothorax
D. Preterm baby with respiratory distress syndrome

All babies with respiratory disease should receive CPAP.

True
False

High-flow nasal cannula can be used to deliver a consistent level of CPAP.

True
False

Which of the following statements best describes the purpose of CPAP?

A. Control the baby's respiratory rate.
B. Decrease the baby's metabolic rate.
C. Increase the baby's arterial oxygen concentration .
D. Decrease the baby's chance of developing a pneumothorax.

Which of the following indicates the general range of pressure used with nasal CPAP when used in the treatment of respiratory distress syndrome?

A. 2 to 4 cm H20 pressure
B. 4 to 8 cm H20 pressure
C. 10 to 14 cm H20 pressure
D. 14 to 18 cm H20 pressure

A baby with respiratory distress syndrome is receiving nasal CPAP at 8 cm H20 pressure and an inspired oxygen concentration (F102) of 60%. Arterial blood gas results at these settings reveal that Pao2 = 94, Paco2 = 45 mm Hg, and pH level = 7.32. Which of the following next steps is the most appropriate one to take to adjust the baby's CPAP and oxygen therapy?

A. Decrease the F10 2 to 40% to 50%, and decrease the nasal CPAP to 6 cm H20 pressure.
B. Decrease the F10 2 to 50%, and maintain the nasal CPAP at 8 cm H20 pressure.
C. Maintain the F10 2 of 60%, and discontinue the nasal CPAP.
D. Maintain the F10 2 of 60%, and increase the nasal CPAP to 10 cm H20 pressure.