Ch 4 Flashcards
Appropriate stimulation of a newborn includes which of the following
Flicking the bottoms of the feet
drying with a warm towel
gently rubbing the back
The apgar score includes which of the following criteria
Color
heart rate
reflex irritability
The best indicator of an infant’s overall cardiopulmonary status immediately after birth is
Heart rate
The ideal time to assess the gestational age of a newborn is
Within the first 12 hours of life
Ideally gestational age is evaluated on the basis of
The gestational duration since the mother’s last menstrual cycle
prenatal ultrasound
evaluations the Ballard scoring system
Apnea is a pathological condition in which breathing ceases for a period of
20 seconds or longer
Signs of respiratory distress in a newborn include which of the following
Grunting and nasal flaring
How many arteries and veins are in the umbilical cord
Two arteries and one vein
An 8 month old presents with head-bobbing. The following is true about head bobbing
It usually suggest respiratory distress Airway obstruction or decreased lung compliance
Palpitation of a patient’s chest produces a vibration of the chest wall during quiet breathing. This suggests partial obstruction of a large Airways by mucus. The name of the sign is
Rhonchal or bronchial fremitus
An infant produces an audible noise that appears to be Strider. The following is true about Strider
It is a high-pitched monophonic audible noise
it may occur during inspiration or expiration or maybe biphasic
Patients with laryngomalacia or subglottic stenosis may have inspiratory stridor
patients with a double aortic Arch compressing the trachea or tracheomalacia may have extpiratory Strider
A teenager has a temperature of 38.5 C a respiratory rate of 28 breaths per minute increased thoracic anterior posterior diameter minimal subcostal retractions fine and coarse crackles heard over the right and left upper lobes. Further evaluation reveals mild digital clubbing of the fingers. This child probably has the following underlying disease
Cystic fibrosis
A two-year-old in respiratory distress is given an albuterol treatment. Pre assessment reveals a mildly uncomfortable a free bro child respiratory rate 36 mild subcostal retractions excretory wheezes heard over right middle lobe and lower lobe. Post-treatment is unchanged except respiratory rate is now 32 breaths. Coughing began several days ago wheezing this morning no family history of atopic disease child was previously healthy. The respiratory therapist speaks with the attending physician and suggest that the child most likely has the following
Pneumonia
