Patient Assessment - Workbook Questions

Question 1

An APGAR score of 4 indicates:

a normal infant
no depression
moderate depression
severe depression

Answer 1

moderate depression

Question 2

An infection in a newborn is more commonly associated with

normal body temperature
hypothermia
hyperthermia
decresaed oxygen consumption

Answer 2

hypothermia

Question 3

An L:S ratio of 3:1 indicates

a high-risk infant
a low incidence of IRDS
that respiratory distress will be present.
an infant who is small for gestational age.

Answer 3

a low incidence of IRDS.

Question 4

Which of the following would indicate a normal sweat chloride test?

30
70
100
150

Answer 4

< 60 is normal.

Question 5

All of the following could predict a high-risk infant delivery except

maternal diabetes
age of the mother
maternal cigarette smoking
appropriate prenatal care

Answer 5

appropriate prenatal care

Question 6

All of the following are trans-placental infections except

gonorrhea
rubella
syphilis
cytomegalovirus

Answer 6

gonorrhea

Question 7

The treatment for toxemia (prenatal hypertension) includes

bed rest
diet
salt restriction

A. 1
B. 2
C. 1 & 2
D. 1, 2, 3

Answer 7

D. Bed rest, diet, and salt restriction

Question 8

Which method of anesthetic administration could induce respiratory depression in an infant?

local
epidural
general
spinal

Answer 8

General

Question 9

Transient tachypnea of the newborn typically occurs as a result of

delayed removal of fetal lung fluid
a pneumothorax
a low birth weight infant
hyperglycemia

Answer 9

delayed removal of fetal lung fluid

Question 10

Normal fetal heart rate is

80-100
100-120
110-160
160-200

Answer 10

110-160

Question 11

Prolonged rupture of the amniotic membranes may result in

neonatal sepsis
meconium aspiration
persistent fetal circulation
jaundice

Answer 11

neonatal sepsis

Question 12

The Dubowitz method is used to determine the

degree of respiratory distress
gestational age of the newborn
need for resuscitation
presence of maternal antibodies

Answer 12

gestational age of the newborn

Question 13

Periodic breathing is defined as

cessation of breathing for more than 10 seconds
episodes of apnea less than 10 seconds alternating with normal breathing.
rapid deep breathing alternating with normal breathing
shallow breathing alternating with deep rapid breathing.

Answer 13

episodes of apnea less than 10 seconds alternating with normal breathing.

Question 14

Pre- and post-ductal blood gas studies are performed to evaluate

right to left shunting
left to right shunting
neonatal jaundice
coarctation of the aorta

Answer 14

right to left shunting

Question 15

What is the most accurate site for monitoring body temperature in the newborn?

tympanic
rectal
skin
axillary

Answer 15

skin

Question 16

When clubbing of the fingers or toes is present,

the fingers or toes become enlarged due to acute hypoxia
loss of mobility occurs in the finger or toes due to hypercarbia.
the angle of the nail bed is increased.
polycythemia due to heart disease is also present.

Answer 16

The angle of the nail bed in increased.

Question 17

Which of the following conditions could cause acrocyanosis?

anemia
polycythemia
hypothermia
hyperthermia

1,3
2,4
1,4
3 only

Answer 17

3 hypothermia

Question 18

Respiratory grunting is a sound heard at the end of

inspiration just before a rapid exhalation
expiration just before a rapid inspiration
inspiration just before a normal exhalation
expiration just before a normal inspiration

Answer 18

expiration just before a rapid inspiration

Question 19

Transillumination of the chest is recommended when the specialist suspects the presence of a

tension pneumothorax
tracheoesophageal fistula
myelomeningocele
pleural effusion

Answer 19

tension pneumothorax

Question 20

Poor femoral pulses may indicate a

patent ductus arteriosus; PDA
ventricular septal defect; VSD
coarctation of the aorta
hypoplastic left heart

Answer 20

coarctation “constriction” of the aorta

Question 21

Vibrations that are felt on the chest wall due to secretions are referred to as

vocal fremitus
rhonchi
rales
tactile fremitus

Answer 21

tactile fremitus

Question 22

Optimum chest tube placement for an infant with a pneumothorax is in the

anterior chest
lateral chest
posterior chest
inferior chest

Answer 22

anterior chest

Question 23

What is PIE (pulmonary interstitial emphysema)?

air dissecting upward into the soft tissues of the neck
trapped collections of air in the acinus portion of the lung
air released into the tissues surrounding the bronchi
an airless section of the lung.

Answer 23

air released into the tissues surrounding the bronchi

Question 24

A pleural effusion is best demonstrated by

two right angle radiographs
PA and AP films
a lateral decubitus film
a lateral neck film

Answer 24

a lateral decubitus film.

Question 25

An AP film of a newborn reveals and egg shaped cardiac silhouette. This would be consistent with

total anomalous pulmonary venous return
tetralogy of fallot
transposition of the great vessels
ventricular septal defect

Answer 25

transposition of the great vessels

Question 26

Wheezing is associated with all of the following except

epiglottitis
hyaline membrane disease
asthma
bronchopulmonary displasia

Answer 26

epiglottitis

Question 27

All of the following will cause the mediastinum to shift away from the pathology except

diaphragmatic hernia
atelectasis
pneumothorax
pleural effusion

Answer 27

atelectasis

Question 28

A diaphragmatic apex below the 6th rib is consistent with

pleural effusion
under aeration
pneumothorax
diaphragmatic hernia

Answer 28

pneumothorax

Question 29

A fiberoptic light is placed on an infants right chest. A lighted halo is seen around the point of contact. The light is then placed on the infant’s left chest and no light can be seen. This would indicated that

the right hemidiaphragm is absent
there is a right pneumothorax
there is a pneumomediastinum present
the left hemidiaphragm is herniated.

Answer 29

the left hemidiaphragm is herniated

Question 30

A pregnant mother reports that October 16 was the first day of her last menstrual period. What is her baby’s due date?

January 9
March 31
July 23
September 16

Answer 30

July 23. Calculated by first day of mother’s last period, subtract 3 months, and add 7 days.