TESTBANK m
m
NEONATAL & PEDIATRIC RESPI
m m m
RATORY CARE m
5th Edition, Walsh
m
m
TESTBANK m
,NeonatalmandmPediatricmRespiratorymCare,m5thmEdition,mBrianmK.mWalshmTestmBank
Tablemof mContents
Chapterm1.mFetalmLungmDevelopment
Chapterm2.mFetalmGasmExchangemand mCirculation
Chapterm3.mAntenatalmAssessment mand mHigh-RiskmDelivery
Chapterm4.mExaminationmand mAssessment mof mthemNeonatalmand mPediatricmPatient
Chapterm5.mPulmonarymFunctionmTestingmand mBedsidemPulmonarymMechanics
Chapterm6.mRadiographicmAssessment
Chapterm7.mPediatricmFlexiblemBronchoscopy
Chapterm8.mInvasivemBlood mGasmAnalysismand mCardiovascularmMonitoring
Chapterm9.mNoninvasivemMonitoringminmNeonatalmand mPediatricmCare
Chapterm10.mOxygenmAdministration
Chapterm11.mAerosolsmand mAdministrationmof mInhaled mMedications
Chapterm12.mAirwaymClearancemTechniquesmand mHyperinflationmTherapy
Chapterm13.mAirwaymManagement
Chapterm14.mSurfactant mReplacement mTherapy
Chapterm15.mNoninvasivemMechanicalmVentilationmand mContinuousmPositivemPressuremof mthemNeonate
Chapterm16.mNoninvasivemMechanicalmVentilationmof mthemInfant mand mChild
Chapterm17.mInvasivemMechanicalmVentilationmof mthemNeonatemand mPediatricmPatient
Chapterm18.mAdministrationmof mGasmMixtures
Chapterm19.mExtracorporealmMembranemOxygenation
Chapterm20.mPharmacology
Chapterm21.mThoracicmOrganmTransplantation
Chapterm22.mNeonatalmPulmonarymDisorders
Chapterm23.mSurgicalmDisordersminmChildhood mthat mAffect mRespiratorymCare
Chapterm24.mCongenitalmCardiacmDefects
Chapterm25.mPediatricmSleep-Disordered mBreathing
Chapterm26.mPediatricmAirwaymDisordersmand mParenchymalmLungmDiseases
Chapterm27.mAsthma
Chapterm28.mCysticmFibrosis
Chapterm29.mAcutemRespiratorymDistressmSyndrome
Chapterm30.mShock
Chapterm31.mPediatricmTrauma
Chapterm32.mDisordersmof mthemPleura
Chapterm33.mNeurologicalmand mNeuromuscularmDisorders
Chapterm34.mPediatricmEmergencies
Chapterm35.mHomemCaremof mthemPostpartummFamily
Chapterm36.mQualitymand mSafety
,Chapterm1:mFetalmLungmDevelopment
Walsh:mNeonatalm&mPediatricmRespiratorymCarem5thmEditionmTestmBankm(2020)
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmphasesmof mhumanmlungmdevelopment mismcharacterized mbymthemformati
onmof mamcapillarymnetworkmaround mairwaympassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:m D
Themcanalicularmphasemfollowsmthempseudoglandularmphase,mlasting mfrommapproximately m17mw
eeksmtom26mweeksmof mgestation.mThismphasemis msomnamed mbecausemof mthemappearancemof mvascula
rmchannels,mormcapillaries,mwhich mbeginmtomgrow mbymformingmamcapillarymnetworkmaround mthem
airmpassages.mDuringmthempseudoglandularmstage,mwhichmbeginsmat mdaym52mand mextendsmtomwe
ekm16mof mgestation,mthemairwaymsystemmsubdividesmextensivelymand mthemconductingmairwaymsy
stemmdevelops,mendingmwithmthemterminalmbronchioles.mThemsaccularmstagemof mdevelopment,m
whichmtakesmplacemfrommweeksm29mtom36mof mgestation,mismcharacterized mbymthemdevelopment mof
msacsmthat mlatermbecomemalveoli.mDuringmthemsaccularmphase, mamtremendousmincreasem inmthempot
entialmgas-
mexchangingmsurfacemareamoccurs.mThemdistinctionmbetweenmthemsaccularmstagemand mthemalveol
armstagemismarbitrary.mThemalveolar mstagemstretchesmfromm39mweeks mof mgestationmtomterm.mThism
stagemismrepresented mbymthemestablishment mof malveoli.
REF:mpp.m 3-5
2. Regardingmpostnatalmlungmgrowth,mbymapproximatelymwhat magemdommost mof mthemalveolimthat mw
illmbempresent minmthemlungsmformlifemdevelop?
a. 6mmonths
b. 1myear
c. 1.5myears
d. 2myears
ANS:m C
Most mof mthempostnatalmformationmof malveoliminmtheminfant moccursmovermthemfirst m1.5myearsmof mlif
e.mAt m2myearsmof mage,mthemnumbermof malveolimvariesmsubstantiallymamongmindividuals.mAfterm2my
earsmof mage,mmalesmhavemmoremalveoli mthanmdomfemales.mAftermalveolarm multiplicationmends,mt
hemalveolimcontinuemtomincreaseminmsizemuntilmthoracic mgrowthmismcompleted.
REF:mp.m6
3. Themrespiratorymtherapist mismevaluatingmamnewbornmwithmmild mrespiratorymdistressmduemtomtrach
ealmstenosis.mDuringmwhichmperiod mof mlungmdevelopment mdid mthismproblemmdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:m A
Theminitialmstructuresmof mthempulmonarymtreemdevelopmduringmthemembryonalmstage.mErrors minm
development mduringmthismtimemmaymresult minmlaryngeal,mtracheal, mormesophagealmatresiamormste
nosis.mPulmonarymhypoplasia,manmincompletemdevelopment mof mthemlungsmcharacterized mbymanma
bnormallymlowmnumbermand/ormsizemof mbronchopulmonarymsegmentsmand/ormalveoli, mcanmdeve
lopmduringmthempseudoglandularmphase.mIf mthemfetusmismbornmduringmthemcanalicularmphasem(i.e.
,mprematurely),mseveremrespiratorymdistressmcanmbe mexpected mbecausemtheminadequatelymdevelo
ped mairways,malongmwithminsufficient mand mimmaturemsurfactant mproductionmbymalveolarmtypemI
I mcells,mgivesmrisemtomthemconstellationmof mproblemsmknownmasm infantmrespiratorymdistressmsynd
rome.
REF:m m p.m6
4. Whichmof mthemfollowingmmechanismsmism(are)mresponsiblemformthempossiblemassociationmbetwe
enmoligohydramniosmand mlungmhypoplasia?
I. Abnormalmcarbohydratemmetabolism
II. Mechanicalmrestrictionmof mthemchest mwall
III. Interferencemwithmfetalmbreathing
IV. Failuremtomproducemfetalmlungmliquid
a. I mand mIII monly
b. II mand m III monly
c. I,mII,mand mIV monly
d. II,mIII,mand mIVmonly
ANS:m D
Oligohydramnios,mamreduced mquantitymof mamnioticmfluid mpresent mformanmextended mperiod mof mti
me,mwithmormwithout mrenalmanomalies,mismassociated mwithmlungmhypoplasia.m Themmechanismsmb
ymwhichmamnioticmfluid mvolumeminfluencesmlungmgrowthmremainmunclear. mPossiblemexplanations
mformreduced mquantitymof mamnioticmfluid mincludemmechanicalmrestrictionmof mthemchest mwall,minte
rferencemwithmfetalmbreathing,mormfailuremtomproducemfetalmlungmliquid.mThesemclinicalmand mexpe
rimentalmobservationsmpossiblympoint mtomamcommonmdenominator,mlungmstretch,mas mbeingma mmaj
ormgrowthmstimulant.
REF:mpp.m6-7
5. What mismthempurposemof mthemsubstancemsecreted mbymthemtypemII mpneumocyte?
a. Tomincreasemthemgasmexchangemsurfacemarea
b. Tomreducemsurfacemtension
c. Tommaintainmlungmelasticity
d. Tompreservemthemvolumemof mthemamnioticmfluid
m
NEONATAL & PEDIATRIC RESPI
m m m
RATORY CARE m
5th Edition, Walsh
m
m
TESTBANK m
,NeonatalmandmPediatricmRespiratorymCare,m5thmEdition,mBrianmK.mWalshmTestmBank
Tablemof mContents
Chapterm1.mFetalmLungmDevelopment
Chapterm2.mFetalmGasmExchangemand mCirculation
Chapterm3.mAntenatalmAssessment mand mHigh-RiskmDelivery
Chapterm4.mExaminationmand mAssessment mof mthemNeonatalmand mPediatricmPatient
Chapterm5.mPulmonarymFunctionmTestingmand mBedsidemPulmonarymMechanics
Chapterm6.mRadiographicmAssessment
Chapterm7.mPediatricmFlexiblemBronchoscopy
Chapterm8.mInvasivemBlood mGasmAnalysismand mCardiovascularmMonitoring
Chapterm9.mNoninvasivemMonitoringminmNeonatalmand mPediatricmCare
Chapterm10.mOxygenmAdministration
Chapterm11.mAerosolsmand mAdministrationmof mInhaled mMedications
Chapterm12.mAirwaymClearancemTechniquesmand mHyperinflationmTherapy
Chapterm13.mAirwaymManagement
Chapterm14.mSurfactant mReplacement mTherapy
Chapterm15.mNoninvasivemMechanicalmVentilationmand mContinuousmPositivemPressuremof mthemNeonate
Chapterm16.mNoninvasivemMechanicalmVentilationmof mthemInfant mand mChild
Chapterm17.mInvasivemMechanicalmVentilationmof mthemNeonatemand mPediatricmPatient
Chapterm18.mAdministrationmof mGasmMixtures
Chapterm19.mExtracorporealmMembranemOxygenation
Chapterm20.mPharmacology
Chapterm21.mThoracicmOrganmTransplantation
Chapterm22.mNeonatalmPulmonarymDisorders
Chapterm23.mSurgicalmDisordersminmChildhood mthat mAffect mRespiratorymCare
Chapterm24.mCongenitalmCardiacmDefects
Chapterm25.mPediatricmSleep-Disordered mBreathing
Chapterm26.mPediatricmAirwaymDisordersmand mParenchymalmLungmDiseases
Chapterm27.mAsthma
Chapterm28.mCysticmFibrosis
Chapterm29.mAcutemRespiratorymDistressmSyndrome
Chapterm30.mShock
Chapterm31.mPediatricmTrauma
Chapterm32.mDisordersmof mthemPleura
Chapterm33.mNeurologicalmand mNeuromuscularmDisorders
Chapterm34.mPediatricmEmergencies
Chapterm35.mHomemCaremof mthemPostpartummFamily
Chapterm36.mQualitymand mSafety
,Chapterm1:mFetalmLungmDevelopment
Walsh:mNeonatalm&mPediatricmRespiratorymCarem5thmEditionmTestmBankm(2020)
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmphasesmof mhumanmlungmdevelopment mismcharacterized mbymthemformati
onmof mamcapillarymnetworkmaround mairwaympassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:m D
Themcanalicularmphasemfollowsmthempseudoglandularmphase,mlasting mfrommapproximately m17mw
eeksmtom26mweeksmof mgestation.mThismphasemis msomnamed mbecausemof mthemappearancemof mvascula
rmchannels,mormcapillaries,mwhich mbeginmtomgrow mbymformingmamcapillarymnetworkmaround mthem
airmpassages.mDuringmthempseudoglandularmstage,mwhichmbeginsmat mdaym52mand mextendsmtomwe
ekm16mof mgestation,mthemairwaymsystemmsubdividesmextensivelymand mthemconductingmairwaymsy
stemmdevelops,mendingmwithmthemterminalmbronchioles.mThemsaccularmstagemof mdevelopment,m
whichmtakesmplacemfrommweeksm29mtom36mof mgestation,mismcharacterized mbymthemdevelopment mof
msacsmthat mlatermbecomemalveoli.mDuringmthemsaccularmphase, mamtremendousmincreasem inmthempot
entialmgas-
mexchangingmsurfacemareamoccurs.mThemdistinctionmbetweenmthemsaccularmstagemand mthemalveol
armstagemismarbitrary.mThemalveolar mstagemstretchesmfromm39mweeks mof mgestationmtomterm.mThism
stagemismrepresented mbymthemestablishment mof malveoli.
REF:mpp.m 3-5
2. Regardingmpostnatalmlungmgrowth,mbymapproximatelymwhat magemdommost mof mthemalveolimthat mw
illmbempresent minmthemlungsmformlifemdevelop?
a. 6mmonths
b. 1myear
c. 1.5myears
d. 2myears
ANS:m C
Most mof mthempostnatalmformationmof malveoliminmtheminfant moccursmovermthemfirst m1.5myearsmof mlif
e.mAt m2myearsmof mage,mthemnumbermof malveolimvariesmsubstantiallymamongmindividuals.mAfterm2my
earsmof mage,mmalesmhavemmoremalveoli mthanmdomfemales.mAftermalveolarm multiplicationmends,mt
hemalveolimcontinuemtomincreaseminmsizemuntilmthoracic mgrowthmismcompleted.
REF:mp.m6
3. Themrespiratorymtherapist mismevaluatingmamnewbornmwithmmild mrespiratorymdistressmduemtomtrach
ealmstenosis.mDuringmwhichmperiod mof mlungmdevelopment mdid mthismproblemmdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:m A
Theminitialmstructuresmof mthempulmonarymtreemdevelopmduringmthemembryonalmstage.mErrors minm
development mduringmthismtimemmaymresult minmlaryngeal,mtracheal, mormesophagealmatresiamormste
nosis.mPulmonarymhypoplasia,manmincompletemdevelopment mof mthemlungsmcharacterized mbymanma
bnormallymlowmnumbermand/ormsizemof mbronchopulmonarymsegmentsmand/ormalveoli, mcanmdeve
lopmduringmthempseudoglandularmphase.mIf mthemfetusmismbornmduringmthemcanalicularmphasem(i.e.
,mprematurely),mseveremrespiratorymdistressmcanmbe mexpected mbecausemtheminadequatelymdevelo
ped mairways,malongmwithminsufficient mand mimmaturemsurfactant mproductionmbymalveolarmtypemI
I mcells,mgivesmrisemtomthemconstellationmof mproblemsmknownmasm infantmrespiratorymdistressmsynd
rome.
REF:m m p.m6
4. Whichmof mthemfollowingmmechanismsmism(are)mresponsiblemformthempossiblemassociationmbetwe
enmoligohydramniosmand mlungmhypoplasia?
I. Abnormalmcarbohydratemmetabolism
II. Mechanicalmrestrictionmof mthemchest mwall
III. Interferencemwithmfetalmbreathing
IV. Failuremtomproducemfetalmlungmliquid
a. I mand mIII monly
b. II mand m III monly
c. I,mII,mand mIV monly
d. II,mIII,mand mIVmonly
ANS:m D
Oligohydramnios,mamreduced mquantitymof mamnioticmfluid mpresent mformanmextended mperiod mof mti
me,mwithmormwithout mrenalmanomalies,mismassociated mwithmlungmhypoplasia.m Themmechanismsmb
ymwhichmamnioticmfluid mvolumeminfluencesmlungmgrowthmremainmunclear. mPossiblemexplanations
mformreduced mquantitymof mamnioticmfluid mincludemmechanicalmrestrictionmof mthemchest mwall,minte
rferencemwithmfetalmbreathing,mormfailuremtomproducemfetalmlungmliquid.mThesemclinicalmand mexpe
rimentalmobservationsmpossiblympoint mtomamcommonmdenominator,mlungmstretch,mas mbeingma mmaj
ormgrowthmstimulant.
REF:mpp.m6-7
5. What mismthempurposemof mthemsubstancemsecreted mbymthemtypemII mpneumocyte?
a. Tomincreasemthemgasmexchangemsurfacemarea
b. Tomreducemsurfacemtension
c. Tommaintainmlungmelasticity
d. Tompreservemthemvolumemof mthemamnioticmfluid
