Chapter 17 High Risk Neonates

Question 0

Incident decreases with increasing gestational age; affects 10% of all preterms (<28wks)

Answer 0

Respiratory distresssyndrome (RDS)

Question 1

Results from underdeveloped and small alveoli and insufficient levels of surfactant

Answer 1

Respiratory distress syndrome (RDS)

Question 2

Composed of 90% phospholipids and 10% protein

Answer 2

Pulmonary surfactant

Question 3

Type II Alveolar cells

Answer 3

Located with in the lungs; produced pulmonary surfactant (starting at 24 to 28 weeks)

Question 4

To test used to evaluate fetal lung maturity

Answer 4

PG

L/S ratio

Question 5

PDA
Pneumothorax
Bronchopulmonary hypertension
Pulmonary edema
Hypotension
Anemia, oliguria, hypo glycemia
Altered calcium and sodium levels
Retinopathy of prematurity
Seizures
Intraventricular hemorrhage

Answer 5

Complications of RDS

Question 6

progressively harder to breath; tachypnea;

respiratory Triad: (retractions, expiratory grunting, nasal flaring)

Answer 6

S/S of Rds

Question 7

X-ray RDS

Answer 7

Reticulogranular pattern of the peripheral long fields and air bronchograms

Question 8

Treatment of RDS

Answer 8

Exaggerates surfactant
CPAP
High frequency oscillatory ventilation
ECMO

Question 9

X-ray yields Groundglass appearance

Progresses to gray out

Answer 9

RDS

Laboratory test nonspecific