TEST BANK cv
NEONATAL & PEDIATRIC RESPIRATOR
cv cv cvcv
Y CARE cv
5th Edition, Walsh
cv cv
TEST BANK c v
,NeonatalcvandcvPediatriccvRespiratorycvCare,cv5thcvEdition,cvBriancvK.cvWalshcvTestcvBank
TablecvofcvContents
Chaptercv1.cvFetalcvLungcvDevelopment
Chaptercv2.cvFetalcvGascvExchangecvandcvCirculation
Chaptercv3.cvAntenatalcvAssessmentcvandcvHigh-RiskcvDelivery
Chaptercv4.cvExaminationcvandcvAssessmentcvofcvthecvNeonatalcvandcvPediatriccvPatient
Chaptercv5.cvPulmonarycvFunctioncvTestingcvandcvBedsidecvPulmonarycvMechanics
Chaptercv6.cvRadiographiccvAssessment
Chaptercv7.cvPediatriccvFlexiblecvBronchoscopy
Chaptercv8.cvInvasivecvBloodcvGascvAnalysiscvandcvCardiovascularcvMonitoring
Chaptercv9.cvNoninvasivecvMonitoringcvincvNeonatalcvandcvPediatriccvCare
Chaptercv10.cvOxygencvAdministration
Chaptercv11.cvAerosolscvandcvAdministrationcvofcvInhaledcvMedications
Chaptercv12.cvAirwaycvClearancecvTechniquescvandcvHyperinflationcvTherapy
Chaptercv13.cvAirwaycvManagement
Chaptercv14.cvSurfactantcvReplacementcvTherapy
Chaptercv15.cvNoninvasivecvMechanicalcvVentilationcvandcvContinuouscvPositivecvPressurecvofcvthecvNeonat
e
Chaptercv16.cvNoninvasivecvMechanicalcvVentilationcvofcvthecvInfantcvandcvChild
Chaptercv17.cvInvasivecvMechanicalcvVentilationcvofcvthecvNeonatecvandcvPediatriccvPatient
Chaptercv18.cvAdministrationcvofcvGascvMixtures
Chaptercv19.cvExtracorporealcvMembranecvOxygenation
Chaptercv20.cvPharmacology
Chaptercv21.cvThoraciccvOrgancvTransplantation
Chaptercv22.cvNeonatalcvPulmonarycvDisorders
Chaptercv23.cvSurgicalcvDisorderscvincvChildhoodcvthatcvAffectcvRespiratorycvCare
Chaptercv24.cvCongenitalcvCardiaccvDefects
Chaptercv25.cvPediatriccvSleep-DisorderedcvBreathing
Chaptercv26.cvPediatriccvAirwaycvDisorderscvandcvParenchymalcvLungcvDiseases
Chaptercv27.cvAsthma
Chaptercv28.cvCysticcvFibrosis
Chaptercv29.cvAcutecvRespiratorycvDistresscvSyndrome
Chaptercv30.cvShock
Chaptercv31.cvPediatriccvTrauma
Chaptercv32.cvDisorderscvofcvthecvPleura
Chaptercv33.cvNeurologicalcvandcvNeuromuscularcvDisorders
Chaptercv34.cvPediatriccvEmergencies
Chaptercv35.cvHomecvCarecvofcvthecvPostpartumcvFamily
Chaptercv36.cvQualitycvandcvSafety
,Chaptercv1:cvFetalcvLungcvDevelopment
Walsh:cvNeonatalcv&cvPediatriccvRespiratorycvCarecv5thcvEditioncvTestcvBankcv(2020)
MULTIPLEcvCHOICE
1. Whichcvofcvthecvfollowingcvphasescvofcvhumancvlungcvdevelopmentcviscvcharacterizedcvbycvthecvformat
ioncvofcvacvcapillarycvnetworkcvaroundcvairwaycvpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:c v D
Thecvcanalicularcvphasecvfollowscvthecvpseudoglandularcvphase,cvlastingcvfromcvapproximatelycv17cv
weekscvtocv26cvweekscvofcvgestation.cvThiscvphasecviscvsocvnamedcvbecausecvofcvthecvappearancecvofcvvasc
ularcvchannels,cvorcvcapillaries,cvwhichcvbegincvtocvgrowcvbycvformingcvacvcapillarycvnetworkcvaround
cvthecvaircvpassages.cvDuringcvthecvpseudoglandularcvstage,cvwhichcvbeginscvatcvdaycv52cvandcvextends
cvtocvweekcv16cvofcvgestation,cvthecvairwaycvsystemcvsubdividescvextensivelycvandcvthecvconductingcva
irwaycvsystemcvdevelops,cvendingcvwithcvthecvterminalcvbronchioles.cvThecvsaccularcvstagecvofcvdeve
lopment,cvwhichcvtakescvplacecvfromcvweekscv29cvtocv36cvofcvgestation,cviscvcharacterizedcvbycvthecvdev
elopmentcvofcvsacscvthatcvlatercvbecomecvalveoli.cvDuringcvthecvsaccularcvphase,cvacvtremendouscvincr
easecvincvthecvpotentialcvgas-
cvexchangingcvsurfacecvareacvoccurs.cvThecvdistinctioncvbetweencvthecvsaccularcvstagecvandcvthecvalve
olarcvstagecviscvarbitrary.cvThecvalveolarcvstagecvstretchescvfromcv39cvweekscvofcvgestationcvtocvterm.cv
Thiscvstagecviscvrepresentedcvbycvthecvestablishmentcvofcvalveoli.
REF:cvpp.c v 3-5
2. Regardingcvpostnatalcvlungcvgrowth,cvbycvapproximatelycvwhatcvagecvdocvmostcvofcvthecvalveolicvthatcv
willcvbecvpresentcvincvthecvlungscvforcvlifecvdevelop?
a. 6cvmonths
b. 1cvyear
c. 1.5cvyears
d. 2cvyears
ANS:c v C
Mostcvofcvthecvpostnatalcvformationcvofcvalveolicvincvthecvinfantcvoccurscvovercvthecvfirstcv1.5cvyearscvofcv
life.cvAtcv2cvyearscvofcvage,cvthecvnumbercvofcvalveolicvvariescvsubstantiallycvamongcvindividuals.cvAftercv
2cvyearscvofcvage,cvmalescvhavecvmorecvalveolicvthancvdocvfemales.cvAftercvalveolarcvmultiplicationcve
nds,cvthecvalveolicvcontinuecvtocvincreasecvincvsizecvuntilcvthoraciccvgrowthcviscvcompleted.
REF:cv p.cv6
3. Thecvrespiratorycvtherapistcviscvevaluatingcvacvnewborncvwithcvmildcvrespiratorycvdistresscvduecvtocvtrac
healcvstenosis.cvDuringcvwhichcvperiodcvofcvlungcvdevelopmentcvdidcvthiscvproblemcvdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:c v A
Thecvinitialcvstructurescvofcvthecvpulmonarycvtreecvdevelopcvduringcvthecvembryonalcvstage.cvErrorscvi
ncvdevelopmentcvduringcvthiscvtimecvmaycvresultcvincvlaryngeal,cvtracheal,cvorcvesophagealcvatresiacvo
rcvstenosis.cvPulmonarycvhypoplasia,cvancvincompletecvdevelopmentcvofcvthecvlungscvcharacterizedcvbycv
ancvabnormallycvlowcvnumbercvand/orcvsizecvofcvbronchopulmonarycvsegmentscvand/orcvalveoli,cvca
ncvdevelopcvduringcvthecvpseudoglandularcvphase.cvIfcvthecvfetuscviscvborncvduringcvthecvcanalicularcvp
hasecv(i.e.,cvprematurely),cvseverecvrespiratorycvdistresscvcancvbecvexpectedcvbecausecvthecvinadequa
telycvdevelopedcvairways,cvalongcvwithcvinsufficientcvandcvimmaturecvsurfactantcvproductioncvbycval
veolarcvtypecvIIcvcells,cvgivescvrisecvtocvthecvconstellationcvofcvproblemscvknowncvascvinfantcvrespirato
rycvdistresscvsyndrome.
REF:c v c v p.cv6
4. Whichcvofcvthecvfollowingcvmechanismscviscv(are)cvresponsiblecvforcvthecvpossiblecvassociationcvbetw
eencvoligohydramnioscvandcvlungcvhypoplasia?
I. Abnormalcvcarbohydratecvmetabolism
II. Mechanicalcvrestrictioncvofcvthecvchestcvwall
III. Interferencecvwithcvfetalcvbreathing
IV. Failurecvtocvproducecvfetalcvlungcvliquid
a. Icvandcv IIIcvonly
b. IIcvandc v IIIcvonly
c. I,cvII,cvandcv IVcvonly
d. II,cvIII,cvandcvIVcvonly
ANS:c v D
Oligohydramnios,cvacvreducedcvquantitycvofcvamnioticcvfluidcvpresentcvforcvancvextendedcvperiodcvofcvti
me,cvwithcvorcvwithoutcvrenalcvanomalies,cviscvassociatedcvwithcvlungcvhypoplasia.cvThecvmechanisms
cvbycvwhichcvamnioticcvfluidcvvolumecvinfluencescvlungcvgrowthcvremaincvunclear.cvPossiblecvexplanatio
nscvforcvreducedcvquantitycvofcvamnioticcvfluidcvincludecvmechanicalcvrestrictioncvofcvthecvchestcvwall,c
vinterferencecvwithcvfetalcvbreathing,cvorcvfailurecvtocvproducecvfetalcvlungcvliquid.cvThesecvclinicalcvan
dcvexperimentalcvobservationscvpossiblycvpointcvtocvacvcommoncvdenominator,cvlungcvstretch,cvascvbei
ngcvacvmajorcvgrowthcvstimulant.
REF:cvpp.cv6-7
5. Whatcviscvthecvpurposecvofcvthecvsubstancecvsecretedcvbycvthecvtypecv IIcvpneumocyte?
a. Tocvincreasecvthecvgascvexchangecvsurfacecvarea
b. Tocvreducecvsurfacecvtension
c. Tocvmaintaincvlungcvelasticity
d. Tocvpreservecvthecvvolumecvofcvthecvamnioticcvfluid
NEONATAL & PEDIATRIC RESPIRATOR
cv cv cvcv
Y CARE cv
5th Edition, Walsh
cv cv
TEST BANK c v
,NeonatalcvandcvPediatriccvRespiratorycvCare,cv5thcvEdition,cvBriancvK.cvWalshcvTestcvBank
TablecvofcvContents
Chaptercv1.cvFetalcvLungcvDevelopment
Chaptercv2.cvFetalcvGascvExchangecvandcvCirculation
Chaptercv3.cvAntenatalcvAssessmentcvandcvHigh-RiskcvDelivery
Chaptercv4.cvExaminationcvandcvAssessmentcvofcvthecvNeonatalcvandcvPediatriccvPatient
Chaptercv5.cvPulmonarycvFunctioncvTestingcvandcvBedsidecvPulmonarycvMechanics
Chaptercv6.cvRadiographiccvAssessment
Chaptercv7.cvPediatriccvFlexiblecvBronchoscopy
Chaptercv8.cvInvasivecvBloodcvGascvAnalysiscvandcvCardiovascularcvMonitoring
Chaptercv9.cvNoninvasivecvMonitoringcvincvNeonatalcvandcvPediatriccvCare
Chaptercv10.cvOxygencvAdministration
Chaptercv11.cvAerosolscvandcvAdministrationcvofcvInhaledcvMedications
Chaptercv12.cvAirwaycvClearancecvTechniquescvandcvHyperinflationcvTherapy
Chaptercv13.cvAirwaycvManagement
Chaptercv14.cvSurfactantcvReplacementcvTherapy
Chaptercv15.cvNoninvasivecvMechanicalcvVentilationcvandcvContinuouscvPositivecvPressurecvofcvthecvNeonat
e
Chaptercv16.cvNoninvasivecvMechanicalcvVentilationcvofcvthecvInfantcvandcvChild
Chaptercv17.cvInvasivecvMechanicalcvVentilationcvofcvthecvNeonatecvandcvPediatriccvPatient
Chaptercv18.cvAdministrationcvofcvGascvMixtures
Chaptercv19.cvExtracorporealcvMembranecvOxygenation
Chaptercv20.cvPharmacology
Chaptercv21.cvThoraciccvOrgancvTransplantation
Chaptercv22.cvNeonatalcvPulmonarycvDisorders
Chaptercv23.cvSurgicalcvDisorderscvincvChildhoodcvthatcvAffectcvRespiratorycvCare
Chaptercv24.cvCongenitalcvCardiaccvDefects
Chaptercv25.cvPediatriccvSleep-DisorderedcvBreathing
Chaptercv26.cvPediatriccvAirwaycvDisorderscvandcvParenchymalcvLungcvDiseases
Chaptercv27.cvAsthma
Chaptercv28.cvCysticcvFibrosis
Chaptercv29.cvAcutecvRespiratorycvDistresscvSyndrome
Chaptercv30.cvShock
Chaptercv31.cvPediatriccvTrauma
Chaptercv32.cvDisorderscvofcvthecvPleura
Chaptercv33.cvNeurologicalcvandcvNeuromuscularcvDisorders
Chaptercv34.cvPediatriccvEmergencies
Chaptercv35.cvHomecvCarecvofcvthecvPostpartumcvFamily
Chaptercv36.cvQualitycvandcvSafety
,Chaptercv1:cvFetalcvLungcvDevelopment
Walsh:cvNeonatalcv&cvPediatriccvRespiratorycvCarecv5thcvEditioncvTestcvBankcv(2020)
MULTIPLEcvCHOICE
1. Whichcvofcvthecvfollowingcvphasescvofcvhumancvlungcvdevelopmentcviscvcharacterizedcvbycvthecvformat
ioncvofcvacvcapillarycvnetworkcvaroundcvairwaycvpassages?
a. Pseudoglandular
b. Saccular
c. Alveolar
d. Canalicular
ANS:c v D
Thecvcanalicularcvphasecvfollowscvthecvpseudoglandularcvphase,cvlastingcvfromcvapproximatelycv17cv
weekscvtocv26cvweekscvofcvgestation.cvThiscvphasecviscvsocvnamedcvbecausecvofcvthecvappearancecvofcvvasc
ularcvchannels,cvorcvcapillaries,cvwhichcvbegincvtocvgrowcvbycvformingcvacvcapillarycvnetworkcvaround
cvthecvaircvpassages.cvDuringcvthecvpseudoglandularcvstage,cvwhichcvbeginscvatcvdaycv52cvandcvextends
cvtocvweekcv16cvofcvgestation,cvthecvairwaycvsystemcvsubdividescvextensivelycvandcvthecvconductingcva
irwaycvsystemcvdevelops,cvendingcvwithcvthecvterminalcvbronchioles.cvThecvsaccularcvstagecvofcvdeve
lopment,cvwhichcvtakescvplacecvfromcvweekscv29cvtocv36cvofcvgestation,cviscvcharacterizedcvbycvthecvdev
elopmentcvofcvsacscvthatcvlatercvbecomecvalveoli.cvDuringcvthecvsaccularcvphase,cvacvtremendouscvincr
easecvincvthecvpotentialcvgas-
cvexchangingcvsurfacecvareacvoccurs.cvThecvdistinctioncvbetweencvthecvsaccularcvstagecvandcvthecvalve
olarcvstagecviscvarbitrary.cvThecvalveolarcvstagecvstretchescvfromcv39cvweekscvofcvgestationcvtocvterm.cv
Thiscvstagecviscvrepresentedcvbycvthecvestablishmentcvofcvalveoli.
REF:cvpp.c v 3-5
2. Regardingcvpostnatalcvlungcvgrowth,cvbycvapproximatelycvwhatcvagecvdocvmostcvofcvthecvalveolicvthatcv
willcvbecvpresentcvincvthecvlungscvforcvlifecvdevelop?
a. 6cvmonths
b. 1cvyear
c. 1.5cvyears
d. 2cvyears
ANS:c v C
Mostcvofcvthecvpostnatalcvformationcvofcvalveolicvincvthecvinfantcvoccurscvovercvthecvfirstcv1.5cvyearscvofcv
life.cvAtcv2cvyearscvofcvage,cvthecvnumbercvofcvalveolicvvariescvsubstantiallycvamongcvindividuals.cvAftercv
2cvyearscvofcvage,cvmalescvhavecvmorecvalveolicvthancvdocvfemales.cvAftercvalveolarcvmultiplicationcve
nds,cvthecvalveolicvcontinuecvtocvincreasecvincvsizecvuntilcvthoraciccvgrowthcviscvcompleted.
REF:cv p.cv6
3. Thecvrespiratorycvtherapistcviscvevaluatingcvacvnewborncvwithcvmildcvrespiratorycvdistresscvduecvtocvtrac
healcvstenosis.cvDuringcvwhichcvperiodcvofcvlungcvdevelopmentcvdidcvthiscvproblemcvdevelop?
, a. Embryonal
b. Saccular
c. Canalicular
d. Alveolar
ANS:c v A
Thecvinitialcvstructurescvofcvthecvpulmonarycvtreecvdevelopcvduringcvthecvembryonalcvstage.cvErrorscvi
ncvdevelopmentcvduringcvthiscvtimecvmaycvresultcvincvlaryngeal,cvtracheal,cvorcvesophagealcvatresiacvo
rcvstenosis.cvPulmonarycvhypoplasia,cvancvincompletecvdevelopmentcvofcvthecvlungscvcharacterizedcvbycv
ancvabnormallycvlowcvnumbercvand/orcvsizecvofcvbronchopulmonarycvsegmentscvand/orcvalveoli,cvca
ncvdevelopcvduringcvthecvpseudoglandularcvphase.cvIfcvthecvfetuscviscvborncvduringcvthecvcanalicularcvp
hasecv(i.e.,cvprematurely),cvseverecvrespiratorycvdistresscvcancvbecvexpectedcvbecausecvthecvinadequa
telycvdevelopedcvairways,cvalongcvwithcvinsufficientcvandcvimmaturecvsurfactantcvproductioncvbycval
veolarcvtypecvIIcvcells,cvgivescvrisecvtocvthecvconstellationcvofcvproblemscvknowncvascvinfantcvrespirato
rycvdistresscvsyndrome.
REF:c v c v p.cv6
4. Whichcvofcvthecvfollowingcvmechanismscviscv(are)cvresponsiblecvforcvthecvpossiblecvassociationcvbetw
eencvoligohydramnioscvandcvlungcvhypoplasia?
I. Abnormalcvcarbohydratecvmetabolism
II. Mechanicalcvrestrictioncvofcvthecvchestcvwall
III. Interferencecvwithcvfetalcvbreathing
IV. Failurecvtocvproducecvfetalcvlungcvliquid
a. Icvandcv IIIcvonly
b. IIcvandc v IIIcvonly
c. I,cvII,cvandcv IVcvonly
d. II,cvIII,cvandcvIVcvonly
ANS:c v D
Oligohydramnios,cvacvreducedcvquantitycvofcvamnioticcvfluidcvpresentcvforcvancvextendedcvperiodcvofcvti
me,cvwithcvorcvwithoutcvrenalcvanomalies,cviscvassociatedcvwithcvlungcvhypoplasia.cvThecvmechanisms
cvbycvwhichcvamnioticcvfluidcvvolumecvinfluencescvlungcvgrowthcvremaincvunclear.cvPossiblecvexplanatio
nscvforcvreducedcvquantitycvofcvamnioticcvfluidcvincludecvmechanicalcvrestrictioncvofcvthecvchestcvwall,c
vinterferencecvwithcvfetalcvbreathing,cvorcvfailurecvtocvproducecvfetalcvlungcvliquid.cvThesecvclinicalcvan
dcvexperimentalcvobservationscvpossiblycvpointcvtocvacvcommoncvdenominator,cvlungcvstretch,cvascvbei
ngcvacvmajorcvgrowthcvstimulant.
REF:cvpp.cv6-7
5. Whatcviscvthecvpurposecvofcvthecvsubstancecvsecretedcvbycvthecvtypecv IIcvpneumocyte?
a. Tocvincreasecvthecvgascvexchangecvsurfacecvarea
b. Tocvreducecvsurfacecvtension
c. Tocvmaintaincvlungcvelasticity
d. Tocvpreservecvthecvvolumecvofcvthecvamnioticcvfluid
