Question 1

Which of the following conditions is responsible for up to 40% of the preterm births in the United States?

Accepted Answer

A)  Cervical insufficiency 
B)  Premature rupture of the fetal membranes 
C)  Obstetrical intervention mandated by fetal jeopardy 
D)  Hormonal treatment during pregnancy 
A)  Cervical insufficiency 
B)  Premature rupture of the fetal membranes 
C)  Obstetrical intervention mandated by fetal jeopardy 
D)  Hormonal treatment during pregnancy B

Question 2

The respiratory therapist is attending a term labor of a woman diagnosed with gestational diabetes. The baby is very large for gestational age. What metabolic disturbances should be considered?
I. Hyperglycemia
II. Hypocalcemia
III. Hyperkalemia
IV. Hypoglycemia

Accepted Answer

A)  II and IV only 
B)  I, II, and III only 
C)  I and III only 
D)  II, III, and IV only 
A)  II and IV only 
B)  I, II, and III only 
C)  I and III only 
D)  II, III, and IV only D

Question 3

A therapist is called to the labor and delivery room to assist in the resuscitation of a 32-week newborn. What FiO2 should be used to start positive pressure ventilation?

Accepted Answer

A)  100% and then adjusted using clinical assessment and preductal pulse oximetry 
B)  50% and then adjusted using clinical assessment and preductal pulse oximetry 
C)  30% and then adjusted using clinical assessment and preductal pulse oximetry 
D)  Any FiO2 as long as peak pressures do not exceed 20 cm H2O 
A)  100% and then adjusted using clinical assessment and preductal pulse oximetry 
B)  50% and then adjusted using clinical assessment and preductal pulse oximetry 
C)  30% and then adjusted using clinical assessment and preductal pulse oximetry 
D)  Any FiO2 as long as peak pressures do not exceed 20 cm H2O C

Question 4

The respiratory therapist is called to assist in the labor of a pregnant woman whose NST reported two accelerations in fetal heart rate, each of at least 15 beats per minute and lasting at least 15 seconds, associated with maternal perception of fetal movement over a period of 20 minutes. What is the best course of action?

Accepted Answer

A)  A C-section should be scheduled as soon as possible. 
B)  No action is required because this reactive NST is associated with normal uteroplacental function. 
C)  A CST should be performed before fetal stress is confirmed. 
D)  Oxytocin should be administered to prevent more fetal stress. 
A)  A C-section should be scheduled as soon as possible. 
B)  No action is required because this reactive NST is associated with normal uteroplacental function. 
C)  A CST should be performed before fetal stress is confirmed. 
D)  Oxytocin should be administered to prevent more fetal stress.

Question 5

Which of the following conditions is a significant problem in postterm pregnancy?

Accepted Answer

A)  Infection 
B)  Fetal anencephaly 
C)  Meconium aspiration 
D)  Obesity 
A)  Infection 
B)  Fetal anencephaly 
C)  Meconium aspiration 
D)  Obesity

Question 6

What is generally accepted as a safe limit for alcohol consumption during pregnancy to avoid the development of fetal alcohol syndrome?

Accepted Answer

A)  One to two 8-ounce drinks per day are considered acceptable. 
B)  Four to five 8-ounce drinks per week are considered safe. 
C)  Three to four 12-ounce drinks per week are considered reasonable. 
D)  No safe range of alcohol consumption is deemed safe during pregnancy. 
A)  One to two 8-ounce drinks per day are considered acceptable. 
B)  Four to five 8-ounce drinks per week are considered safe. 
C)  Three to four 12-ounce drinks per week are considered reasonable. 
D)  No safe range of alcohol consumption is deemed safe during pregnancy.

Question 7

What is the average birth weight difference between infants born of mothers who smoke and those born of nonsmoking mothers?

Accepted Answer

A)  Infants born of mothers who smoke tend to be about 200 g lighter than infants born of mothers who do not smoke. 
B)  Infants born of mothers who smoke are generally about 400 g lighter than infants born of nonsmoking mothers. 
C)  Infants born of mothers who smoke are predisposed to weigh approximately 600 g less than infants born of mothers who do not smoke. 
D)  Infants of mothers who smoke are likely to be born about 800 g lighter than those born of mothers who do not smoke. 
A)  Infants born of mothers who smoke tend to be about 200 g lighter than infants born of mothers who do not smoke. 
B)  Infants born of mothers who smoke are generally about 400 g lighter than infants born of nonsmoking mothers. 
C)  Infants born of mothers who smoke are predisposed to weigh approximately 600 g less than infants born of mothers who do not smoke. 
D)  Infants of mothers who smoke are likely to be born about 800 g lighter than those born of mothers who do not smoke.

Question 8

Once preterm labor is diagnosed, which of the following medications should be considered as tocolytic?

Accepted Answer

A)  Magnesium sulfate 
B)  Sodium bicarbonate 
C)  Calcium carbonate 
D)  Epinephrine 
A)  Magnesium sulfate 
B)  Sodium bicarbonate 
C)  Calcium carbonate 
D)  Epinephrine

Question 9

A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn. If necessary, what FiO2 should be used to start positive pressure ventilation?

Accepted Answer

A)  100% and wean as needed 
B)  21% and make changes utilizing preductal oximetry 
C)  50% and wean for SpO2 >88% 
D)  Any FiO2 as long as peak pressures do not exceed 20 cm H2O 
A)  100% and wean as needed 
B)  21% and make changes utilizing preductal oximetry 
C)  50% and wean for SpO2 >88% 
D)  Any FiO2 as long as peak pressures do not exceed 20 cm H2O

Question 10

A therapist is resuscitating a term newborn. What should be the rate of ventilation?

Accepted Answer

A)  20 to 30 breaths per minute 
B)  30 to 40 breaths per minute 
C)  40 to 60 breaths per minute 
D)  60 to 100 breaths per minute 
A)  20 to 30 breaths per minute 
B)  30 to 40 breaths per minute 
C)  40 to 60 breaths per minute 
D)  60 to 100 breaths per minute

Question 11

A woman with a long history of smoking is now in the last part of the third trimester of her pregnancy. She is at high risk for which of the following conditions?
I. Premature rupture of membranes
II. Placental abruption
III. Placenta previa
IV. Asthma

Accepted Answer

A)  II and IV only 
B)  I, II, and III only 
C)  I and III only 
D)  I, II, III, and IV 
A)  II and IV only 
B)  I, II, and III only 
C)  I and III only 
D)  I, II, III, and IV

Question 12

A pregnant woman at 30 weeks of gestation with premature rupture of membranes has been admitted to the hospital with preterm labor. The physician has ordered betamethasone. When does the maximal benefit of antenatal corticosteroid occur to reduce RDS?

Accepted Answer

A)  After 12 hours 
B)  After 24 hours 
C)  After 48 hours 
D)  After 1 week 
A)  After 12 hours 
B)  After 24 hours 
C)  After 48 hours 
D)  After 1 week

Question 13

A pregnant woman has been diagnosed with pregestational diabetes. Of which of the following adverse fetal outcomes should the therapist be aware at the time of delivery?

Accepted Answer

A)  Unexplained abruption placenta 
B)  Oligohydramnios 
C)  Malformations of the cardiovascular system 
D)  Fetal limb malformations 
A)  Unexplained abruption placenta 
B)  Oligohydramnios 
C)  Malformations of the cardiovascular system 
D)  Fetal limb malformations

Question 14

What is the main potential problem associated with the premature rupture of membranes?

Accepted Answer

A)  Fetal dehydration 
B)  Fetal infection 
C)  Maternal hypotension 
D)  Maternal renal failure 
A)  Fetal dehydration 
B)  Fetal infection 
C)  Maternal hypotension 
D)  Maternal renal failure

Question 15

Which of the following maternal complications is associated with cesarean section?

Accepted Answer

A)  Significant blood loss 
B)  Endomyometriosis 
C)  Failure to progress in labor 
D)  Placenta previa 
A)  Significant blood loss 
B)  Endomyometriosis 
C)  Failure to progress in labor 
D)  Placenta previa

Question 16

Which of the following microorganisms most commonly affect pregnancy outcome?

Accepted Answer

A)  Group B Streptococcus 
B)  Haemophilus influenzae 
C)  Mycobacterium tuberculosis 
D)  Hepatitis C virus 
A)  Group B Streptococcus 
B)  Haemophilus influenzae 
C)  Mycobacterium tuberculosis 
D)  Hepatitis C virus

Question 17

A woman 41 weeks pregnant is at high risk for complication in the postpartum period. Which of the following agents will be more appropriate to induce labor?

Accepted Answer

A)  Magnesium sulfate 
B)  Aspirin 
C)  Terbutaline 
D)  Oxytocin 
A)  Magnesium sulfate 
B)  Aspirin 
C)  Terbutaline 
D)  Oxytocin

Question 18

A therapist treating a newborn with hypoxemia due to hypothermia should also be aware of which of the following conditions?

Accepted Answer

A)  Hypercarbia 
B)  Hypoglycemia 
C)  Hypocalcemia 
D)  Left-to-right shunt 
A)  Hypercarbia 
B)  Hypoglycemia 
C)  Hypocalcemia 
D)  Left-to-right shunt

Question 19

A therapist is resuscitating a term newborn. The heart rate falls to 55 beats per minute. What is the best course of action?

Accepted Answer

A)  Intubate and provide positive airway pressure 
B)  Administer IV or ET epinephrine 
C)  Apply bag-mask ventilation 
D)  Continue compressions until heart rate is greater than 60 
A)  Intubate and provide positive airway pressure 
B)  Administer IV or ET epinephrine 
C)  Apply bag-mask ventilation 
D)  Continue compressions until heart rate is greater than 60

Question 20

Which of the following procedures is performed after the 16th week of pregnancy and can be used to assess for chromosomal abnormalities?

Accepted Answer

A)  Amniocentesis 
B)  Scalp fetal pH 
C)  Stress test 
D)  Needle ultrasound 
A)  Amniocentesis 
B)  Scalp fetal pH 
C)  Stress test 
D)  Needle ultrasound

Exam 3: Antenatal Assessment and High-Risk Delivery

Which of the following conditions is responsible for up to 40% of the preterm births in the United States?

The respiratory therapist is attending a term labor of a woman diagnosed with gestational diabetes. The baby is very large for gestational age. What metabolic disturbances should be considered? I. Hyperglycemia II. Hypocalcemia III. Hyperkalemia IV. Hypoglycemia

A therapist is called to the labor and delivery room to assist in the resuscitation of a 32-week newborn. What FiO2 should be used to start positive pressure ventilation?

Which of the following conditions is a significant problem in postterm pregnancy?

What is generally accepted as a safe limit for alcohol consumption during pregnancy to avoid the development of fetal alcohol syndrome?

What is the average birth weight difference between infants born of mothers who smoke and those born of nonsmoking mothers?

Once preterm labor is diagnosed, which of the following medications should be considered as tocolytic?

A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn. If necessary, what FiO2 should be used to start positive pressure ventilation?

A therapist is resuscitating a term newborn. What should be the rate of ventilation?

A woman with a long history of smoking is now in the last part of the third trimester of her pregnancy. She is at high risk for which of the following conditions? I. Premature rupture of membranes II. Placental abruption III. Placenta previa IV. Asthma

A pregnant woman at 30 weeks of gestation with premature rupture of membranes has been admitted to the hospital with preterm labor. The physician has ordered betamethasone. When does the maximal benefit of antenatal corticosteroid occur to reduce RDS?

A pregnant woman has been diagnosed with pregestational diabetes. Of which of the following adverse fetal outcomes should the therapist be aware at the time of delivery?

What is the main potential problem associated with the premature rupture of membranes?

Which of the following maternal complications is associated with cesarean section?

Which of the following microorganisms most commonly affect pregnancy outcome?

A woman 41 weeks pregnant is at high risk for complication in the postpartum period. Which of the following agents will be more appropriate to induce labor?

A therapist treating a newborn with hypoxemia due to hypothermia should also be aware of which of the following conditions?

A therapist is resuscitating a term newborn. The heart rate falls to 55 beats per minute. What is the best course of action?

Which of the following procedures is performed after the 16th week of pregnancy and can be used to assess for chromosomal abnormalities?

Fetal Lung Development

Fetal Gas Exchange and Circulation

Examination and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Pediatric Flexible Bronchoscopy

Invasive Blood Gas Analysis and Cardiovascular Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Inhaled Medications

Airway Clearance Techniques and Hyperinflation Therapy

Airway Management

Surfactant Replacement Therapy

Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Infant and Child

Invasive Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Membrane Oxygenation

Pharmacology

Thoracic Organ Transplantation

Neonatal Pulmonary Disorders

Surgical Disorders in Childhood That Affect Respiratory Care

Congenital Cardiac Defects

Pediatric Sleep-Disordered Breathing

Pediatric Airway Disorders and Parenchymal Lung Diseases

Asthma

Cystic Fibrosis

Acute Respiratory Distress Syndrome

Shock

Pediatric Trauma

Disorders of the Pleura

Neurological and Neuromuscular Disorders

Transport of Infants and Children

Home Care

Quality and Safety

Filters

A therapist is called to the labor and delivery room to assist in the resuscitation of a 32-week newborn. What FiO₂ should be used to start positive pressure ventilation?

A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn. If necessary, what FiO₂should be used to start positive pressure ventilation?