Patient Assessment - Workbook Questions Flashcards
An APGAR score of 4 indicates:
a normal infant
no depression
moderate depression
severe depression
moderate depression
An infection in a newborn is more commonly associated with
normal body temperature
hypothermia
hyperthermia
decresaed oxygen consumption
hypothermia
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.
a low incidence of IRDS.
Which of the following would indicate a normal sweat chloride test?
30
70
100
150
< 60 is normal.
All of the following could predict a high-risk infant delivery except
maternal diabetes
age of the mother
maternal cigarette smoking
appropriate prenatal care
appropriate prenatal care
All of the following are trans-placental infections except
gonorrhea
rubella
syphilis
cytomegalovirus
gonorrhea
The treatment for toxemia (prenatal hypertension) includes
bed rest
diet
salt restriction
A. 1
B. 2
C. 1 & 2
D. 1, 2, 3
D. Bed rest, diet, and salt restriction
Which method of anesthetic administration could induce respiratory depression in an infant?
local
epidural
general
spinal
General
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
delayed removal of fetal lung fluid
Normal fetal heart rate is
80-100
100-120
110-160
160-200
110-160
Prolonged rupture of the amniotic membranes may result in
neonatal sepsis
meconium aspiration
persistent fetal circulation
jaundice
neonatal sepsis
The Dubowitz method is used to determine the
degree of respiratory distress
gestational age of the newborn
need for resuscitation
presence of maternal antibodies
gestational age of the newborn
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.
episodes of apnea less than 10 seconds alternating with normal breathing.
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
right to left shunting
What is the most accurate site for monitoring body temperature in the newborn?
tympanic
rectal
skin
axillary
skin
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.
The angle of the nail bed in increased.
Which of the following conditions could cause acrocyanosis?
anemia
polycythemia
hypothermia
hyperthermia
1,3
2,4
1,4
3 only
3 hypothermia
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
expiration just before a rapid inspiration
Transillumination of the chest is recommended when the specialist suspects the presence of a
tension pneumothorax
tracheoesophageal fistula
myelomeningocele
pleural effusion
tension pneumothorax
Poor femoral pulses may indicate a
patent ductus arteriosus; PDA
ventricular septal defect; VSD
coarctation of the aorta
hypoplastic left heart
coarctation “constriction” of the aorta
Vibrations that are felt on the chest wall due to secretions are referred to as
vocal fremitus
rhonchi
rales
tactile fremitus
tactile fremitus
Optimum chest tube placement for an infant with a pneumothorax is in the
anterior chest
lateral chest
posterior chest
inferior chest
anterior chest
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.
air released into the tissues surrounding the bronchi
A pleural effusion is best demonstrated by
two right angle radiographs
PA and AP films
a lateral decubitus film
a lateral neck film
a lateral decubitus film.
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
transposition of the great vessels
Wheezing is associated with all of the following except
epiglottitis
hyaline membrane disease
asthma
bronchopulmonary displasia
epiglottitis
All of the following will cause the mediastinum to shift away from the pathology except
diaphragmatic hernia
atelectasis
pneumothorax
pleural effusion
atelectasis
A diaphragmatic apex below the 6th rib is consistent with
pleural effusion
under aeration
pneumothorax
diaphragmatic hernia
pneumothorax
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.
the left hemidiaphragm is herniated
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
July 23. Calculated by first day of mother’s last period, subtract 3 months, and add 7 days.
