TEST BANK k
NEONATAL & PEDIATRICRE
k k k
SPIRATORY CARE k
5th Edition, Walsh
k
k
TEST BANK k
,NeonatalkandkPediatrickRespiratorykCare,k5thkEdition,kBriankK.kWalshkTestkBank
TablekofkContents
Chapterk1.kFetalkLungkDevelopment
Chapterk2.kFetalkGaskExchangekandkCirculation
Chapterk3.kAntenatalkAssessmentkandkHigh-RiskkDelivery
Chapterk4.kExaminationkandkAssessmentkofkthekNeonatalkandkPediatrickPatient
Chapterk5.kPulmonarykFunctionkTestingkandkBedsidekPulmonarykMechanics
Chapterk6.kRadiographickAssessment
Chapterk7.kPediatrickFlexiblekBronchoscopy
Chapterk8.kInvasivekBloodkGaskAnalysiskandkCardiovascularkMonitoring
Chapterk9.kNoninvasivekMonitoringkinkNeonatalkandkPediatrickCare
Chapterk10.kOxygenkAdministration
Chapterk11.kAerosolskandkAdministrationkofkInhaledkMedications
Chapterk12.kAirwaykClearancekTechniqueskandkHyperinflationkTherapy
Chapterk13.kAirwaykManagement
Chapterk14.kSurfactantkReplacementkTherapy
Chapterk15.kNoninvasivekMechanicalkVentilationkandkContinuouskPositivekPressurekofkthekNeonate
Chapterk16.kNoninvasivekMechanicalkVentilationkofkthekInfantkandkChild
Chapterk17.kInvasivekMechanicalkVentilationkofkthekNeonatekandkPediatrickPatient
Chapterk18.kAdministrationkofkGaskMixtures
Chapterk19.kExtracorporealkMembranekOxygenation
Chapterk20.kPharmacology
Chapterk21.kThoracickOrgankTransplantation
Chapterk22.kNeonatalkPulmonarykDisorders
Chapterk23.kSurgicalkDisorderskinkChildhoodkthatkAffectkRespiratorykCare
Chapterk24.kCongenitalkCardiackDefects
Chapterk25.kPediatrickSleep-DisorderedkBreathing
Chapterk26.kPediatrickAirwaykDisorderskandkParenchymalkLungkDiseases
Chapterk27.kAsthma
Chapterk28.kCystickFibrosis
Chapterk29.kAcutekRespiratorykDistresskSyndrome
Chapterk30.kShock
Chapterk31.kPediatrickTrauma
Chapterk32.kDisorderskofkthekPleura
Chapterk33.kNeurologicalkandkNeuromuscularkDisorders
Chapterk34.kPediatrickEmergencies
Chapterk35.kHomekCarekofkthekPostpartumkFamily
Chapterk36.kQualitykandkSafety
,Chapterk1:kFetalkLungkDevelopment
Walsh:kNeonatalk&kPediatrickRespiratorykCarek5thkEditionkTestkBankk(2020)
MULTIPLEkCHOICE
1. Whichkofkthekfollowingkphaseskofkhumanklungkdevelopmentkiskcharacterizedkbykthekformationko
fkakcapillaryknetworkkaroundkairwaykpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:k D
Thekcanalicularkphasekfollowskthekpseudoglandularkphase,klastingkfromkapproximatelyk17kweek
sktok26kweekskofkgestation.kThiskphasekisksoknamedkbecausekofkthekappearancekofkvascularkchanne
ls,korkcapillaries,kwhichkbeginktokgrowkbykformingkakcapillaryknetworkkaroundkthekairkpassages.k
Duringkthekpseudoglandularkstage,kwhichkbeginskatkdayk52kandkextendsktokweekk16kofkgestation,
kthekairwayksystemksubdivideskextensivelykandkthekconductingkairwayksystemkdevelops,kendingk
withkthekterminalkbronchioles.kTheksaccularkstagekofkdevelopment,kwhichktakeskplacekfromkwee
ksk29ktok36kofkgestation,kiskcharacterizedkbykthekdevelopmentkofksacskthatklaterkbecomekalveoli.k
Duringktheksaccularkphase,kaktremendouskincreasekinkthekpotentialkgas-
kexchangingksurfacekareakoccurs.kThekdistinctionkbetweenktheksaccularkstagekandkthekalveolarkst
agekiskarbitrary.kThekalveolarkstagekstretcheskfromk39kweekskofkgestationktokterm.kThiskstagekiskr
epresentedkbykthekestablishmentkofkalveoli.
REF:k pp.k 3-5
2. Regardingkpostnatalklungkgrowth,kbykapproximatelykwhatkagekdokmostkofkthekalveolikthatkwillkb
ekpresentkinktheklungskforklifekdevelop?
a. 6kmonths
b. 1kyear
c. 1.5kyears
d. 2kyears
ANS:k C
Mostkofkthekpostnatalkformationkofkalveolikinkthekinfantkoccurskoverkthekfirstk1.5kyearskofklife.kA
tk2kyearskofkage,ktheknumberkofkalveolikvariesksubstantiallykamongkindividuals.kAfterk2k yearskofk
age,kmaleskhavekmorekalveolikthankdokfemales.kAfterkalveolarkmultiplicationkends,kthekalveolik
continuektokincreasekinksizekuntilkthoracickgrowthkiskcompleted.
REF:k p.k6
3. Thekrespiratoryktherapistk iskevaluatingkaknewbornkwithkmildkrespiratorykdistresskduektoktrachealks
tenosis.kDuringkwhichkperiodkofklungkdevelopmentkdidkthiskproblemkdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:k A
Thekinitialkstructureskofkthekpulmonaryktreekdevelopkduringkthekembryonalkstage.kErrorskinkdev
elopmentkduringkthisktimekmaykresultkinklaryngeal,ktracheal,korkesophagealkatresiakorkstenosis.k
Pulmonarykhypoplasia,kankincompletekdevelopmentkofktheklungskcharacterizedkbykankabnormall
yklowknumberkand/orksizekofkbronchopulmonaryksegmentskand/orkalveoli,kcankdevelopkduringk
thekpseudoglandularkphase.kIfkthekfetuskiskbornkduringkthekcanalicularkphasek(i.e.,kprematurely)
,kseverekrespiratorykdistresskcankbekexpectedkbecausekthekinadequatelykdevelopedkairways,kalo
ngkwithkinsufficientkandkimmatureksurfactantkproductionkbykalveolarktypekIIkcells,kgiveskrisekto
kthekconstellationkofkproblemskknownkaskinfantkrespiratorykdistressksyndrome.
REF:kkk p.k6
4. Whichkofkthekfollowingkmechanismskisk(are)kresponsiblekforkthekpossiblekassociationkbetweenko
ligohydramnioskandklungkhypoplasia?
I. Abnormalkcarbohydratekmetabolism
II. Mechanicalkrestrictionkofkthekchestkwall
III. Interferencekwithkfetalkbreathing
IV. Failurektokproducekfetalklungkliquid
a. Ikandk IIIkonly
b. IIkandk IIIkonly
c. I,kII,kandk IVkonly
d. II,k III,kandkIVkonly
ANS:k D
Oligohydramnios,kakreducedkquantitykofkamniotickfluidkpresentkforkankextendedkperiodkofktime,k
withkorkwithoutkrenalkanomalies,kiskassociatedkwithklungkhypoplasia.kThekmechanismskbykwhich
kamniotickfluidkvolumekinfluencesklungkgrowthkremainkunclear.kPossiblekexplanationskforkreduce
dkquantitykofkamniotickfluidkincludekmechanicalkrestrictionkofkthekchestkwall,kinterferencekwithkf
etalkbreathing,korkfailurektokproducekfetalklungkliquid.kThesekclinicalkandkexperimentalkobservati
onskpossiblykpointktokakcommonkdenominator,klungkstretch,kaskbeingkakmajorkgrowthkstimulant.
REF:k pp.k6-7
5. WhatkiskthekpurposekofktheksubstanceksecretedkbykthektypekIIkpneumocyte?
a. Tokincreasekthekgaskexchangeksurfacekarea
b. Tokreduceksurfacektension
c. Tokmaintainklungkelasticity
d. Tokpreservekthekvolumekofkthekamniotickfluid
NEONATAL & PEDIATRICRE
k k k
SPIRATORY CARE k
5th Edition, Walsh
k
k
TEST BANK k
,NeonatalkandkPediatrickRespiratorykCare,k5thkEdition,kBriankK.kWalshkTestkBank
TablekofkContents
Chapterk1.kFetalkLungkDevelopment
Chapterk2.kFetalkGaskExchangekandkCirculation
Chapterk3.kAntenatalkAssessmentkandkHigh-RiskkDelivery
Chapterk4.kExaminationkandkAssessmentkofkthekNeonatalkandkPediatrickPatient
Chapterk5.kPulmonarykFunctionkTestingkandkBedsidekPulmonarykMechanics
Chapterk6.kRadiographickAssessment
Chapterk7.kPediatrickFlexiblekBronchoscopy
Chapterk8.kInvasivekBloodkGaskAnalysiskandkCardiovascularkMonitoring
Chapterk9.kNoninvasivekMonitoringkinkNeonatalkandkPediatrickCare
Chapterk10.kOxygenkAdministration
Chapterk11.kAerosolskandkAdministrationkofkInhaledkMedications
Chapterk12.kAirwaykClearancekTechniqueskandkHyperinflationkTherapy
Chapterk13.kAirwaykManagement
Chapterk14.kSurfactantkReplacementkTherapy
Chapterk15.kNoninvasivekMechanicalkVentilationkandkContinuouskPositivekPressurekofkthekNeonate
Chapterk16.kNoninvasivekMechanicalkVentilationkofkthekInfantkandkChild
Chapterk17.kInvasivekMechanicalkVentilationkofkthekNeonatekandkPediatrickPatient
Chapterk18.kAdministrationkofkGaskMixtures
Chapterk19.kExtracorporealkMembranekOxygenation
Chapterk20.kPharmacology
Chapterk21.kThoracickOrgankTransplantation
Chapterk22.kNeonatalkPulmonarykDisorders
Chapterk23.kSurgicalkDisorderskinkChildhoodkthatkAffectkRespiratorykCare
Chapterk24.kCongenitalkCardiackDefects
Chapterk25.kPediatrickSleep-DisorderedkBreathing
Chapterk26.kPediatrickAirwaykDisorderskandkParenchymalkLungkDiseases
Chapterk27.kAsthma
Chapterk28.kCystickFibrosis
Chapterk29.kAcutekRespiratorykDistresskSyndrome
Chapterk30.kShock
Chapterk31.kPediatrickTrauma
Chapterk32.kDisorderskofkthekPleura
Chapterk33.kNeurologicalkandkNeuromuscularkDisorders
Chapterk34.kPediatrickEmergencies
Chapterk35.kHomekCarekofkthekPostpartumkFamily
Chapterk36.kQualitykandkSafety
,Chapterk1:kFetalkLungkDevelopment
Walsh:kNeonatalk&kPediatrickRespiratorykCarek5thkEditionkTestkBankk(2020)
MULTIPLEkCHOICE
1. Whichkofkthekfollowingkphaseskofkhumanklungkdevelopmentkiskcharacterizedkbykthekformationko
fkakcapillaryknetworkkaroundkairwaykpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:k D
Thekcanalicularkphasekfollowskthekpseudoglandularkphase,klastingkfromkapproximatelyk17kweek
sktok26kweekskofkgestation.kThiskphasekisksoknamedkbecausekofkthekappearancekofkvascularkchanne
ls,korkcapillaries,kwhichkbeginktokgrowkbykformingkakcapillaryknetworkkaroundkthekairkpassages.k
Duringkthekpseudoglandularkstage,kwhichkbeginskatkdayk52kandkextendsktokweekk16kofkgestation,
kthekairwayksystemksubdivideskextensivelykandkthekconductingkairwayksystemkdevelops,kendingk
withkthekterminalkbronchioles.kTheksaccularkstagekofkdevelopment,kwhichktakeskplacekfromkwee
ksk29ktok36kofkgestation,kiskcharacterizedkbykthekdevelopmentkofksacskthatklaterkbecomekalveoli.k
Duringktheksaccularkphase,kaktremendouskincreasekinkthekpotentialkgas-
kexchangingksurfacekareakoccurs.kThekdistinctionkbetweenktheksaccularkstagekandkthekalveolarkst
agekiskarbitrary.kThekalveolarkstagekstretcheskfromk39kweekskofkgestationktokterm.kThiskstagekiskr
epresentedkbykthekestablishmentkofkalveoli.
REF:k pp.k 3-5
2. Regardingkpostnatalklungkgrowth,kbykapproximatelykwhatkagekdokmostkofkthekalveolikthatkwillkb
ekpresentkinktheklungskforklifekdevelop?
a. 6kmonths
b. 1kyear
c. 1.5kyears
d. 2kyears
ANS:k C
Mostkofkthekpostnatalkformationkofkalveolikinkthekinfantkoccurskoverkthekfirstk1.5kyearskofklife.kA
tk2kyearskofkage,ktheknumberkofkalveolikvariesksubstantiallykamongkindividuals.kAfterk2k yearskofk
age,kmaleskhavekmorekalveolikthankdokfemales.kAfterkalveolarkmultiplicationkends,kthekalveolik
continuektokincreasekinksizekuntilkthoracickgrowthkiskcompleted.
REF:k p.k6
3. Thekrespiratoryktherapistk iskevaluatingkaknewbornkwithkmildkrespiratorykdistresskduektoktrachealks
tenosis.kDuringkwhichkperiodkofklungkdevelopmentkdidkthiskproblemkdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:k A
Thekinitialkstructureskofkthekpulmonaryktreekdevelopkduringkthekembryonalkstage.kErrorskinkdev
elopmentkduringkthisktimekmaykresultkinklaryngeal,ktracheal,korkesophagealkatresiakorkstenosis.k
Pulmonarykhypoplasia,kankincompletekdevelopmentkofktheklungskcharacterizedkbykankabnormall
yklowknumberkand/orksizekofkbronchopulmonaryksegmentskand/orkalveoli,kcankdevelopkduringk
thekpseudoglandularkphase.kIfkthekfetuskiskbornkduringkthekcanalicularkphasek(i.e.,kprematurely)
,kseverekrespiratorykdistresskcankbekexpectedkbecausekthekinadequatelykdevelopedkairways,kalo
ngkwithkinsufficientkandkimmatureksurfactantkproductionkbykalveolarktypekIIkcells,kgiveskrisekto
kthekconstellationkofkproblemskknownkaskinfantkrespiratorykdistressksyndrome.
REF:kkk p.k6
4. Whichkofkthekfollowingkmechanismskisk(are)kresponsiblekforkthekpossiblekassociationkbetweenko
ligohydramnioskandklungkhypoplasia?
I. Abnormalkcarbohydratekmetabolism
II. Mechanicalkrestrictionkofkthekchestkwall
III. Interferencekwithkfetalkbreathing
IV. Failurektokproducekfetalklungkliquid
a. Ikandk IIIkonly
b. IIkandk IIIkonly
c. I,kII,kandk IVkonly
d. II,k III,kandkIVkonly
ANS:k D
Oligohydramnios,kakreducedkquantitykofkamniotickfluidkpresentkforkankextendedkperiodkofktime,k
withkorkwithoutkrenalkanomalies,kiskassociatedkwithklungkhypoplasia.kThekmechanismskbykwhich
kamniotickfluidkvolumekinfluencesklungkgrowthkremainkunclear.kPossiblekexplanationskforkreduce
dkquantitykofkamniotickfluidkincludekmechanicalkrestrictionkofkthekchestkwall,kinterferencekwithkf
etalkbreathing,korkfailurektokproducekfetalklungkliquid.kThesekclinicalkandkexperimentalkobservati
onskpossiblykpointktokakcommonkdenominator,klungkstretch,kaskbeingkakmajorkgrowthkstimulant.
REF:k pp.k6-7
5. WhatkiskthekpurposekofktheksubstanceksecretedkbykthektypekIIkpneumocyte?
a. Tokincreasekthekgaskexchangeksurfacekarea
b. Tokreduceksurfacektension
c. Tokmaintainklungkelasticity
d. Tokpreservekthekvolumekofkthekamniotickfluid
