Week 3 neonates

Which of the following organisms is the most likely to cause bronchiolitis?

An urgent call comes from the ER notifying you of a 25-year-old woman, G2P1011 who has been admitted for premature labor at 28 weeks’ gestation. One of the best options to help reduce the risk of RDS in the fetus if it delivers is:

You are entering a room to obtain an ABG from a neonatal patient. Which of the following standard precautions applies?

The release of mediators by eosinophils, neutrophils, macrophages, and lymphocytes is seen during:

You called to the bedside of a 33-week gestation neonate being mechanically ventilated. The peak pressures have gone up and the patient is cyanotic, bradycardic, and hypotensive. Auscultation of the lungs reveals diminished breath sounds. Your next step should be to:

You are called stat to the delivery room with a report of meconium stained amniotic fluid . The neonate is term. Upon delivery, you note that the infant has meconium on his skin. The recommended treatment is:

You are working as a RT on the night shift in the NICU. You are called to the delivery room and find a newborn infant with signs of distress, including expiratory grunting and nasal flaring. A pulse oximeter is placed and shows a saturation of 90% on room air. A chest x-ray is ordered. Which of the following would you expect to find on an x-ray.

The most reliable diagnosis of cystic fibrosis involves:

During an assessment, a 31-week neonate is found to have bulging fontanelles, hypotension, and a decreased hematocrit. A cranial ultrasound is ordered and shows bleeding into the germinal matrix extending into the ventricles. This represents what grade of IVH?

Reye's syndrome is diagnosed by:

Of the following, which is not contraindicated to perform a pulmonary function study on a 7 y/o?

You are caring for a 8-month-old patient diagnosed with croup. He has been receiving nebulized racemic epinephrine Q4-6 hours with mild relief from the symptoms. The pediatrician asks you what else might be done to help improve the symptoms. Your recommendation is:

You are seeing a 2 y/o patient in the outpatient clinic. While taking a history, the mother states that she brought the child in due to a fever, which was 102 degrees F. The mother states that the baby has a history of "ear tubes" and has a cough for the past week. The baby is current on his immunizations. Which of these historical items is the chief complaint?

The branch(es) of CNS that appear(s) to be primarily responsible for inhibiting bronchial smooth muscle contraction is (are) the:

You are a respiratory therapist working in the NICU with a patient being treated with inhaled NO. The patient’s oxygen saturation via pulse oximetry is 85% despite high levels of inspired oxygen. This could be a result of which the following?

Indomethacin is given to treat which of the following anomalies?

A 4-year-old patient has a 4-day history of vomiting and diarrhea. He is lethargic and does not respond well to verbal stimulus. His skin is cool to the touch and pale. You suspect he is in shock. What is the most likely type of shock in this patient?

A 6-year-old girl was found by her family in a neighborhood pond. CPR was started immediately. Upon arrival at the emergency department, CPR is still being performed, and she is intubated and being bag ventilated. She is still in her wet clothing. Which of the following is the most appropriate step at this point:

Which of the following is typically NOT seen in the presence of TTN?

Which of the following would be the drug of choice during the inflammatory stage of asthma?

You are called STAT to a room on the pediatric wing of the hospital during a day shift . You find a 2 year old who is unresponsive to any stimulus. The patient is not breathing and there is no palpable pulse. Which of the following is the next appropriate step?

While examining the retina of a NICU patient, an ophthalmologist notes necrosis of the retinal vessels. This condition is called:

You are covering the emergency department during your shift when a 5-year-old patient arrives following a fall from a ladder. The first step in the primary survey of this patient is:

While performing a ventilator check on a 34 week neonate, you auscultate the chest and note grade III systolic murmur. It is loudest over the left upper sternal border. The most likely cause of the murmur is:

While performing an assessment on a pediatric patient, you note that the baby is extremely fussy and uncooperative. Which of the following would most likely help calm the patient and allow for a better exam?

After starting feedings on a newborn, the baby develops immediate respiratory distress with coughing, choking, and vomiting. A tracheasophageal anomaly is suspected. Which of the following is most likely?

“Battle’s sign” is indicative of which of the following?

To auscultate the cardiac sounds, which of the following locations is recommended?

Which of the following are possible strategies in the treatment of ARDS?

I. maintain arterial PCO2 below normal
II. hyperventilation
III. correct any physical derangements
IV. suppress alveolar inflammation
V. prevent complications

You are asked to asses, at 1 month postpartum, a 32-week baby with a history of PDA, and 3 weeks on a ventilator with high inspiratory pressures. The chances of the baby developing BDP is increased if which of the following is also present?

Edrophonium (Tensilon) is used to diagnose which of the following?

While assessing a 6 y/o pediatric patient, you discover that the patient has a rapid bounding pulse, confusion, and muscular twitching. Which of the following is suspected?

You are performing a pulmonary examination on a 7-year-old male patient with a history of sore throat, fever, and dysphagia. He is lying on the gurney and you note a large amount of drool coming from the corner of his mouth. The next step in the evaluation of this patient would be:

You are called stat to the delivery room to assess a cyanotic term neonate. You supply 100% oxygen to the patient with no change to the cyanosis 1 hour later. A chest x-ray is obtained and shows normal lung markings, but the cardiac silhouette is shaped like a boot. The most likely diagnosis is:

Of the following which is not linked to an increase in the risk of SIDS in the prone position?

Which of the following is an example of adsorption in the treatment of poisoning?

While treating a 9-year-old male who was rescued from a burning house, you note that the pulse oximeter is reading 95% saturation. The patient is on a simple oxygen mask running at 6 lpm. With this information, what is the best course of action?

You are working with a one-month-old neonate diagnosed with BPD. The neonatologist has ordered and increase in the caloric intake to the patient. Which of the following will need to be monitored closely?

A 4 y/o is brought to the E.D. after aspirating a peanut. The patient is currently in no respiratory distress. The most likely area for the peanut to be is:

With regard to the examination of the pulmonary system of the pediatric patient, which of the following is not one of the three primary goals?

Which of the following is not considered one of the phases of ARDS?

Which of the following would favor the development of an in utero fetal pneumonia?

I. fetal asphyxia
II. prolonged rupture of the amniotic membranes
III. maternal exercise
IV. excessive obstetrical manipulation
V. prolonged labor

Which of the following are commonly used in the treatment of patients with cystic fibrosis?

I. oxygen
II. aerosolized antibiotics
III. theophylline
IV. mist tents
V. CPT

A 30 y/o female is admitted to the high risk delivery are at 5:00pm with premature contractions. She weighs 210 lbs and is estimated to be 30 weeks gestation. Her history is positive for hypertension and possible drug use. Her amniotic membranes ruptured yesterday at around noon while she was exercising. Which historical item carries the highest risk of infection to the fetus?

A patient with micrognathia is at risk for what type of apnea?

A routine chest x-ray of a 30-week-gestation neonate being mechanically ventilated shows evidence of PIE. Which of the following strategies would best reduce harmful sequelae?

You are examining a 40 week neonate who has had some nasal flaring and expiratory grunting. While assessing the red reflex of the eyes, you note the presence of cataracts bilaterally. What is the most likely agent this patient was infected with?