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Book 3 Unit 2
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
To determine if a baby is cyanotic , which of the following body parts is the best part of the baby's body to examine?
A. Nail beds
B. Feet
C. Lips
D. Nose
A baby's respiratory rate is 70 breaths per minute. This breathing pattern is called
A. Normal
B. Tachypnea
C. Apnea
D. Flaring
What causes respiratory distress syndrome in the newborn?
A. Congenital malformation of the upper airway
B. Polycythemia (thick blood)
C. Pneumothorax
D. Surfactant deficiency
Which of the following babies is not at increased risk for respiratory distress?
A. Baby born in a taxicab during the winter
B. A term baby whose nails are meconium stained
C. A 38-week, appropriate-for-gestational-age baby whose mother's membranes had been ruptured for 6 hours before delivery
D. A baby with a 5-minute Apgar score of 2
A baby has respiratory distress. You note asymmetrical movement of the chest, with breath sounds louder on the left side. Which of the following actions is most appro priate for this baby?
A. Obtain an electrocardiogram.
B. Obtain a chest radiograph.
C. Position the baby with the right side down.
D. Insert an oral airway.
If a preterm baby stops breathing for 10 seconds, this is considered
A. Expected, unless accompanied by bradycardia or cyanosis
B. Unexpected and requiring immediate treatment
Which of these may be a cause of apnea?
(Choose the letter that identifies the correct answers.)
1. Imbalance in blood chemistry, such as low blood glucose, calcium, or sodium level
2. Infections
3. Low blood volume
4. Temperature change, such as when a cold baby is being warmed
A. 2, 3
B. 3, 4
C. 1, 2, 4
D. 1, 2, 3, 4
A baby with respiratory distress has an apneic spell. What should you think about this?
A. Apnea is expected in babies with respiratory distress.
B. Apnea shows the baby is getting worse quickly.
What percentage of babies weighing less than 1,000 g (<2lb 3oz) will have at least 1 apneic spell?
A. < 20%
B. 50%
C. 75%
D. > 90%
When a baby is assisted with ventilation for an apneic spell, it is important to the rate of assisted breathing before stopping assistance
A. decrease
B. increase
C. not change
Three hours after birth, a baby shows mild grunting and nasal flaring . This is probably expected.
True
False
Babies frequently cannot breathe through their mouths by themselves .
True
False
A baby in respiratory distress who is grunting probably has poor lung compliance ("stiff lungs").
True
False
Which of the following babies is at highest risk for developing a pneumothorax?
A. Term baby with congenital heart disease
B. Term baby whose mother had hydramnios
C. Preterm baby with respiratory distress syndrome
D. Preterm baby requiring an exchange transfusion
A baby with a pneumothorax is least likely to develop
A. High blood pressure
B. Sudden cyanosis
C. Abdominal distension
D. Shift in location of heart sounds
The possible consequences of a pneumothorax include all of the following condi tions, except
A. Hypoxia
B. lntraventricular hemorrhage
C. Anemia
D. Acidosis
Approximately of healthy term newborns will develop a pneumothorax.
0.1%
B. 1.0%
C. 5 . 0%
D. 10.0%
A pneumothorax should be considered anytime there is a sudden deterioration in a baby's condition, even if the baby is recovering from an illness.
True
False
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