Exam 37: Respiratory Distress Syndrome

Management of a neonate with RDS may include: 1) emergency tracheostomy. 2) instilling surfactant into the lungs. 3) mechanical ventilation. 4) supplemental oxygen.

A patient has RDS. What clinical manifestations are associated with the more negative intrapleural pressures needed during inspiration? 1) Seesaw breathing movement 2) Vesicular breath sounds 3) Pulmonary edema 4) Dependent thoracic areas are cyanotic

In assessing a patient with RDS, the respiratory therapist would expect to find: 1) intercostal retractions. 2) acrocyanosis. 3) flaring nostrils. 4) wheezing.

The standard of care to evaluate the oxygenation status of a premature infant with RDS is by:

What special environmental concerns are there with a neonate with RDS in order to avoid compromising his/her oxygenation?

What vascular anatomic alteration could occur as a consequence of hypoxia in a patient with RDS?

A premature infant with RDS is receiving mechanical ventilation. In managing the patient's oxygenation, the respiratory therapist should strive to keep the PaO₂ at:

A patient with RDS has alveolar hypoxia and pulmonary vasoconstriction. How will this affect his blood flow? 1) Blood shunts through the foramen ovale 2) Increased systemic blood flow 3) Blood shunts through the ductus arteriosus 4) Decreased blood flow to the gut

The hyaline membrane seen in the alveoli of a neonate with RDS is similar to the anatomic alteration found in what other pulmonary disease?

Which of the following are associated with an increased risk for developing RDS? 1) Low-birth weight infant 2) Prenatal asphyxia 3) Maternal bleeding 4) First-born twin

It is likely that a neonate with RDS will have which of the following chest radiograph findings?

Respiratory distress syndrome (RDS) primarily affects infants who are:

Which of the following amniotic fluid lab findings would indicate mature fetal lungs?

Which of the following is usually seen in the lungs of a neonate with RDS?

A mother is about to deliver a 25 weeks' gestation infant. What therapeutic intervention should the respiratory therapist be prepared to give to minimize the risk for RDS?

The INSURE method of surfactant administration includes: 1) respiratory support. 2) insertion of a feeding tube. 3) extubation. 4) intubation.

The neonate with RDS would have a phosphatidylglycerol (PG) level that is:

What is the primary cause of RDS in the newborn?

The respiratory pattern of a neonate with RDS will have which of these characteristics? 1) Respiratory rate of about 50/min 2) Respiratory rate of >60/min 3) Cyclical breathing pattern 4) Hard and deep breaths