TEST BANK h
NEONATAL & PEDIATRICRE
h h h
SPIRATORY CARE h
5th Edition, Walsh
h
h
TEST BANK h
,NeonatalhandhPediatrichRespiratoryhCare,h5thhEdition,hBrianhK.hWalshhTesthBank
TablehofhContents
Chapterh1.hFetalhLunghDevelopment
Chapterh2.hFetalhGashExchangehandhCirculation
Chapterh3.hAntenatalhAssessmenthandhHigh-RiskhDelivery
Chapterh4.hExaminationhandhAssessmenthofhthehNeonatalhandhPediatrichPatient
Chapterh5.hPulmonaryhFunctionhTestinghandhBedsidehPulmonaryhMechanics
Chapterh6.hRadiographichAssessment
Chapterh7.hPediatrichFlexiblehBronchoscopy
Chapterh8.hInvasivehBloodhGashAnalysishandhCardiovascularhMonitoring
Chapterh9.hNoninvasivehMonitoringhinhNeonatalhandhPediatrichCare
Chapterh10.hOxygenhAdministration
Chapterh11.hAerosolshandhAdministrationhofhInhaledhMedications
Chapterh12.hAirwayhClearancehTechniqueshandhHyperinflationhTherapy
Chapterh13.hAirwayhManagement
Chapterh14.hSurfactanthReplacementhTherapy
Chapterh15.hNoninvasivehMechanicalhVentilationhandhContinuoushPositivehPressurehofhthehNeonate
Chapterh16.hNoninvasivehMechanicalhVentilationhofhthehInfanthandhChild
Chapterh17.hInvasivehMechanicalhVentilationhofhthehNeonatehandhPediatrichPatient
Chapterh18.hAdministrationhofhGashMixtures
Chapterh19.hExtracorporealhMembranehOxygenation
Chapterh20.hPharmacology
Chapterh21.hThoracichOrganhTransplantation
Chapterh22.hNeonatalhPulmonaryhDisorders
Chapterh23.hSurgicalhDisordershinhChildhoodhthathAffecthRespiratoryhCare
Chapterh24.hCongenitalhCardiachDefects
Chapterh25.hPediatrichSleep-DisorderedhBreathing
Chapterh26.hPediatrichAirwayhDisordershandhParenchymalhLunghDiseases
Chapterh27.hAsthma
Chapterh28.hCystichFibrosis
Chapterh29.hAcutehRespiratoryhDistresshSyndrome
Chapterh30.hShock
Chapterh31.hPediatrichTrauma
Chapterh32.hDisordershofhthehPleura
Chapterh33.hNeurologicalhandhNeuromuscularhDisorders
Chapterh34.hPediatrichEmergencies
Chapterh35.hHomehCarehofhthehPostpartumhFamily
Chapterh36.hQualityhandhSafety
,Chapterh1:hFetalhLunghDevelopment
Walsh:hNeonatalh&hPediatrichRespiratoryhCareh5thhEditionhTesthBankh(2020)
MULTIPLEhCHOICE
1. Whichhofhthehfollowinghphaseshofhhumanhlunghdevelopmenthishcharacterizedhbyhthehformationho
fhahcapillaryhnetworkh aroundhairwayhpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:h D
Thehcanalicularhphasehfollowshthehpseudoglandularhphase,hlastinghfromhapproximatelyh17hweek
shtoh26hweekshofhgestation.hThishphasehishsohnamedhbecausehofhthehappearancehofhvascularhchanne
ls,horhcapillaries,hwhichhbeginhtohgrowhbyhforminghahcapillaryhnetworkharoundhthehairhpassages.h
Duringhthehpseudoglandularhstage,hwhichhbeginshathdayh52handhextendshtohweekh16hofhgestation,
hthehairwayhsystemhsubdivideshextensivelyhandhthehconductinghairwayhsystemhdevelops,hendingh
withhthehterminalhbronchioles.hThehsaccularhstagehofhdevelopment,hwhichhtakeshplacehfromhwee
ksh29htoh36hofhgestation,hishcharacterizedhbyhthehdevelopmenthofhsacshthathlaterhbecomehalveoli.h
Duringhthehsaccularhphase,hahtremendoushincreasehinhthehpotentialhgas-
hexchanginghsurfacehareahoccurs.hThehdistinctionhbetweenhthehsaccularhstagehandhthehalveolarhst
agehisharbitrary.hThehalveolarhstagehstretcheshfromh39hweekshofhgestationhtohterm.hThishstagehishr
epresentedhbyhthehestablishmenthofhalveoli.
REF:h pp.h 3-5
2. Regardinghpostnatalhlunghgrowth,hbyhapproximatelyhwhathagehdohmosthofhthehalveolihthathwillhb
ehpresenthinhthehlungshforhlifehdevelop?
a. 6hmonths
b. 1hyear
c. 1.5hyears
d. 2hyears
ANS:h C
Mosthofhthehpostnatalhformationhofhalveolihinhthehinfanthoccurshoverhthehfirsth1.5hyearshofhlife.hA
th2h yearshofhage,hthehnumberhofhalveolihvarieshsubstantiallyhamonghindividuals.hAfterh2h yearshofh
age,hmaleshhavehmorehalveolihthanhdohfemales.hAfterhalveolarhmultiplicationhends,hthehalveolih
continuehtohincreasehinhsizehuntilhthoracichgrowthhishcompleted.
REF:h p.h6
3. Thehrespiratoryhtherapisth ishevaluatinghahnewbornhwithhmildhrespiratoryhdistresshduehtohtrachealhs
tenosis.hDuringhwhichhperiodhofhlunghdevelopmenthdidhthishproblemhdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:h A
Thehinitialhstructureshofhthehpulmonaryhtreehdevelophduringhthehembryonalhstage.hErrorshinhdev
elopmenthduringhthishtimehmayhresulthinhlaryngeal,htracheal,horhesophagealhatresiahorhstenosis.h
Pulmonaryhhypoplasia,hanhincompletehdevelopmenthofhthehlungshcharacterizedhbyhanhabnormall
yhlowhnumberhand/orhsizehofhbronchopulmonaryhsegmentshand/orhalveoli,hcanhdevelophduringh
thehpseudoglandularhphase.hIfhthehfetushishbornhduringhthehcanalicularhphaseh(i.e.,hprematurely)
,hseverehrespiratoryhdistresshcanhbehexpectedhbecausehthehinadequatelyhdevelopedhairways,halo
nghwithhinsufficienthandhimmaturehsurfactanthproductionhbyhalveolarhtypehIIhcells,hgiveshrisehto
hthehconstellationhofhproblemshknownhashinfanthrespiratoryhdistresshsyndrome.
REF:hhh p.h6
4. Whichhofhthehfollowinghmechanismshish(are)hresponsiblehforhthehpossiblehassociationhbetweenho
ligohydramnioshandhlunghhypoplasia?
I. Abnormalhcarbohydratehmetabolism
II. Mechanicalhrestrictionhofhthehchesthwall
III. Interferencehwithhfetalhbreathing
IV. Failurehtohproducehfetalhlunghliquid
a. Ihandh IIIhonly
b. IIhandh IIIhonly
c. I,h II,handh IVhonly
d. II,h III,handhIVhonly
ANS:h D
Oligohydramnios,hahreducedhquantityhofhamniotichfluidhpresenthforhanhextendedhperiodhofhtime,h
withhorhwithouthrenalhanomalies,hishassociatedhwithhlunghhypoplasia.hThehmechanismshbyhwhich
hamniotichfluidhvolumehinfluenceshlunghgrowthhremainhunclear.hPossiblehexplanationshforhreduce
dhquantityhofhamniotichfluidhincludehmechanicalhrestrictionhofhthehchesthwall,hinterferencehwithhf
etalhbreathing,horhfailurehtohproducehfetalhlunghliquid.hThesehclinicalhandhexperimentalhobservati
onshpossiblyhpointhtohahcommonhdenominator,hlunghstretch,hashbeinghahmajorhgrowthhstimulant.
REF:h pp.h6-7
5. Whathishthehpurposehofhthehsubstancehsecretedhbyhthehtypeh IIhpneumocyte?
a. Tohincreasehthehgashexchangehsurfaceharea
b. Tohreducehsurfacehtension
c. Tohmaintainhlunghelasticity
d. Tohpreservehthehvolumehofhthehamniotichfluid
NEONATAL & PEDIATRICRE
h h h
SPIRATORY CARE h
5th Edition, Walsh
h
h
TEST BANK h
,NeonatalhandhPediatrichRespiratoryhCare,h5thhEdition,hBrianhK.hWalshhTesthBank
TablehofhContents
Chapterh1.hFetalhLunghDevelopment
Chapterh2.hFetalhGashExchangehandhCirculation
Chapterh3.hAntenatalhAssessmenthandhHigh-RiskhDelivery
Chapterh4.hExaminationhandhAssessmenthofhthehNeonatalhandhPediatrichPatient
Chapterh5.hPulmonaryhFunctionhTestinghandhBedsidehPulmonaryhMechanics
Chapterh6.hRadiographichAssessment
Chapterh7.hPediatrichFlexiblehBronchoscopy
Chapterh8.hInvasivehBloodhGashAnalysishandhCardiovascularhMonitoring
Chapterh9.hNoninvasivehMonitoringhinhNeonatalhandhPediatrichCare
Chapterh10.hOxygenhAdministration
Chapterh11.hAerosolshandhAdministrationhofhInhaledhMedications
Chapterh12.hAirwayhClearancehTechniqueshandhHyperinflationhTherapy
Chapterh13.hAirwayhManagement
Chapterh14.hSurfactanthReplacementhTherapy
Chapterh15.hNoninvasivehMechanicalhVentilationhandhContinuoushPositivehPressurehofhthehNeonate
Chapterh16.hNoninvasivehMechanicalhVentilationhofhthehInfanthandhChild
Chapterh17.hInvasivehMechanicalhVentilationhofhthehNeonatehandhPediatrichPatient
Chapterh18.hAdministrationhofhGashMixtures
Chapterh19.hExtracorporealhMembranehOxygenation
Chapterh20.hPharmacology
Chapterh21.hThoracichOrganhTransplantation
Chapterh22.hNeonatalhPulmonaryhDisorders
Chapterh23.hSurgicalhDisordershinhChildhoodhthathAffecthRespiratoryhCare
Chapterh24.hCongenitalhCardiachDefects
Chapterh25.hPediatrichSleep-DisorderedhBreathing
Chapterh26.hPediatrichAirwayhDisordershandhParenchymalhLunghDiseases
Chapterh27.hAsthma
Chapterh28.hCystichFibrosis
Chapterh29.hAcutehRespiratoryhDistresshSyndrome
Chapterh30.hShock
Chapterh31.hPediatrichTrauma
Chapterh32.hDisordershofhthehPleura
Chapterh33.hNeurologicalhandhNeuromuscularhDisorders
Chapterh34.hPediatrichEmergencies
Chapterh35.hHomehCarehofhthehPostpartumhFamily
Chapterh36.hQualityhandhSafety
,Chapterh1:hFetalhLunghDevelopment
Walsh:hNeonatalh&hPediatrichRespiratoryhCareh5thhEditionhTesthBankh(2020)
MULTIPLEhCHOICE
1. Whichhofhthehfollowinghphaseshofhhumanhlunghdevelopmenthishcharacterizedhbyhthehformationho
fhahcapillaryhnetworkh aroundhairwayhpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:h D
Thehcanalicularhphasehfollowshthehpseudoglandularhphase,hlastinghfromhapproximatelyh17hweek
shtoh26hweekshofhgestation.hThishphasehishsohnamedhbecausehofhthehappearancehofhvascularhchanne
ls,horhcapillaries,hwhichhbeginhtohgrowhbyhforminghahcapillaryhnetworkharoundhthehairhpassages.h
Duringhthehpseudoglandularhstage,hwhichhbeginshathdayh52handhextendshtohweekh16hofhgestation,
hthehairwayhsystemhsubdivideshextensivelyhandhthehconductinghairwayhsystemhdevelops,hendingh
withhthehterminalhbronchioles.hThehsaccularhstagehofhdevelopment,hwhichhtakeshplacehfromhwee
ksh29htoh36hofhgestation,hishcharacterizedhbyhthehdevelopmenthofhsacshthathlaterhbecomehalveoli.h
Duringhthehsaccularhphase,hahtremendoushincreasehinhthehpotentialhgas-
hexchanginghsurfacehareahoccurs.hThehdistinctionhbetweenhthehsaccularhstagehandhthehalveolarhst
agehisharbitrary.hThehalveolarhstagehstretcheshfromh39hweekshofhgestationhtohterm.hThishstagehishr
epresentedhbyhthehestablishmenthofhalveoli.
REF:h pp.h 3-5
2. Regardinghpostnatalhlunghgrowth,hbyhapproximatelyhwhathagehdohmosthofhthehalveolihthathwillhb
ehpresenthinhthehlungshforhlifehdevelop?
a. 6hmonths
b. 1hyear
c. 1.5hyears
d. 2hyears
ANS:h C
Mosthofhthehpostnatalhformationhofhalveolihinhthehinfanthoccurshoverhthehfirsth1.5hyearshofhlife.hA
th2h yearshofhage,hthehnumberhofhalveolihvarieshsubstantiallyhamonghindividuals.hAfterh2h yearshofh
age,hmaleshhavehmorehalveolihthanhdohfemales.hAfterhalveolarhmultiplicationhends,hthehalveolih
continuehtohincreasehinhsizehuntilhthoracichgrowthhishcompleted.
REF:h p.h6
3. Thehrespiratoryhtherapisth ishevaluatinghahnewbornhwithhmildhrespiratoryhdistresshduehtohtrachealhs
tenosis.hDuringhwhichhperiodhofhlunghdevelopmenthdidhthishproblemhdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:h A
Thehinitialhstructureshofhthehpulmonaryhtreehdevelophduringhthehembryonalhstage.hErrorshinhdev
elopmenthduringhthishtimehmayhresulthinhlaryngeal,htracheal,horhesophagealhatresiahorhstenosis.h
Pulmonaryhhypoplasia,hanhincompletehdevelopmenthofhthehlungshcharacterizedhbyhanhabnormall
yhlowhnumberhand/orhsizehofhbronchopulmonaryhsegmentshand/orhalveoli,hcanhdevelophduringh
thehpseudoglandularhphase.hIfhthehfetushishbornhduringhthehcanalicularhphaseh(i.e.,hprematurely)
,hseverehrespiratoryhdistresshcanhbehexpectedhbecausehthehinadequatelyhdevelopedhairways,halo
nghwithhinsufficienthandhimmaturehsurfactanthproductionhbyhalveolarhtypehIIhcells,hgiveshrisehto
hthehconstellationhofhproblemshknownhashinfanthrespiratoryhdistresshsyndrome.
REF:hhh p.h6
4. Whichhofhthehfollowinghmechanismshish(are)hresponsiblehforhthehpossiblehassociationhbetweenho
ligohydramnioshandhlunghhypoplasia?
I. Abnormalhcarbohydratehmetabolism
II. Mechanicalhrestrictionhofhthehchesthwall
III. Interferencehwithhfetalhbreathing
IV. Failurehtohproducehfetalhlunghliquid
a. Ihandh IIIhonly
b. IIhandh IIIhonly
c. I,h II,handh IVhonly
d. II,h III,handhIVhonly
ANS:h D
Oligohydramnios,hahreducedhquantityhofhamniotichfluidhpresenthforhanhextendedhperiodhofhtime,h
withhorhwithouthrenalhanomalies,hishassociatedhwithhlunghhypoplasia.hThehmechanismshbyhwhich
hamniotichfluidhvolumehinfluenceshlunghgrowthhremainhunclear.hPossiblehexplanationshforhreduce
dhquantityhofhamniotichfluidhincludehmechanicalhrestrictionhofhthehchesthwall,hinterferencehwithhf
etalhbreathing,horhfailurehtohproducehfetalhlunghliquid.hThesehclinicalhandhexperimentalhobservati
onshpossiblyhpointhtohahcommonhdenominator,hlunghstretch,hashbeinghahmajorhgrowthhstimulant.
REF:h pp.h6-7
5. Whathishthehpurposehofhthehsubstancehsecretedhbyhthehtypeh IIhpneumocyte?
a. Tohincreasehthehgashexchangehsurfaceharea
b. Tohreducehsurfacehtension
c. Tohmaintainhlunghelasticity
d. Tohpreservehthehvolumehofhthehamniotichfluid
