STIONS AND VERIFIED ANSWERS g g g
Which of the following suction catheters would be most appro
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priate to use for a pediatric patient with a size 6 mm ID endotra
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cheal tube? g
a. 6 Fr g
b. 8 Fr g
c. 10 Fr g
d. 12 Fr - <<<Answers>>>b. 8 Fr
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The neonatal/pediatric specialist is called to assist in the delive
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ry of a post-term neonate with meconium-
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stained amniotic fluid. Variable decelerations occurred during
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labor. At birth, the newborn's heart rate is 58/minute with weak
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grespiratory efforts and poor muscle tone. What action should t
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he specialist take at this time?
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a. Suction the mouth and nose with a bulb syringe
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b. Clear the mouth and nose with a large/suction catheter
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c. Initiate positive pressure ventilation with a face mask
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d. insert endotracheal tube, attach meconium aspirator, apply
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suction and withdraw tube - g g g g
<<<Answers>>>c. initiate positive pressure ventilation with
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a face mask
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,During mechanical ventilation in pressure control, the preset in
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spiratory pressure will not be reached in which of the followin
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g conditions?
g
a. Inspiratory time is too long g g g g
b. Respiratory rate is too low g g g g
c. PEEP level is excessive g g g
d. Flow is not adequate - g g g g
<<<Answers>>>d. flow is not adequate
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A six-week-
g
old neonate is being ventilated with pressure control ventilatio
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n. The neonatal/pediatric specialist should not allow the mean
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airway pressure value to go above
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a. 5 cmH2O g
b. 10 cmH2O g
c. 15 cmH2O g
d. 20 cmH2O - <<<Answers>>>c. 15 cmH2O
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The neonatal/pediatric specialist is managing a 4-year-
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old child with ARDS on mechanical ventilation in the Assist/C
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ontrol, Volume Control mode. In order to increase minute venti
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lation, the specialist should increase the
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a. Mandatory rate g
b. FiO2
c. PEEP
d. I:E ratio - <<<Answers>>>a. mandatory rate
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,During mechanical ventilation of neonatal patients, a peak insp
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iratory pressure of 35 cmH2O increases the risk of
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1.barotrauma, 2. Retinopathy of prematurity, 3. Pulmonary air l
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eaks
a. 2 only
g
b. 1 and 3 only
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c. 2 and 3 only
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d. 1, 2 and 3 - <<<Answers>>>b. 1 and 3 only
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A premature neonate is receiving mechanical ventilation with a
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respiratory rate of 30/minute and an inspiratory time of 0.5 sec
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onds? These settings would result in an I:E ratio of
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a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>c. 1:3
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The neonatal/ pediatric specialist is asked to calculate the inspi
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ratory time for a ventilator set at 25 breaths/minute with an I:E
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ratio of 1:3. The specialist should report the inspiratory time as
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a. 0.4 sec g
b. 0.5 sec g
c. 0.6 sec g
, d. 0.8 sec - <<<Answers>>>c. 0.6 sec
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Calculate the I:E ratio for a ventilator set at a rate of 20 breaths/
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minute with an inspiratory time of 0.6 seconds.
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a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>d. 1:4
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A four-week-old, 28-week-
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gestation infant with RDS remains on mechanical ventilation.
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Current ventilator parameters are: PIP 22 cmH2O, rate 10 brea
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ths/min, FiO2 0.30, PEEP 4 cmH2O. Arterial blood gas analys
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is reveals adequate oxygenation and ventilation. The infant is b
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reathing spontaneously above the set rate with minimal work o
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f breathing. The neonate/pediatric specialist should
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a. Decrease the respiratory rate to 8 breaths/min
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b. Decrease the PIP to 18 cmH2O g g g g g
c. Decrease the FiO2 to 0.28 g g g g
d. Initiate a CPAP trial - g g g g
<<<Answers>>>d. initiate a CPAP trial
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A neonate with RDS is receiving mechanical ventilation at the f
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ollowing settings: PC/SIMV FiO2 0.30, rate 20/min, PIP 22 cm
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H2O, PEEP 4 cmH2O. One hour after the respiratory rate is ch
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anged to 12/min, the ABG results are: pH 7.40, PaCO2
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