Question 1

Which of the following radiologic findings would not be expected in a 12-hour-old neonate with TTN?

Accepted Answer

A)  Air bronchograms 
B)  Fluid in the interlobular fissures 
C)  Elevated diaphragms 
D)  Prominent perihilar streaking 
A)  Air bronchograms 
B)  Fluid in the interlobular fissures 
C)  Elevated diaphragms 
D)  Prominent perihilar streaking C

Question 2

Which of the following clinical manifestations are associated with the more negative intrapleural pressures needed during inspiration?
1) Thick, tenacious secretions
2) Intercostal retractions
3) Nasal flaring
4) Mediastinal shift

Accepted Answer

A) 1, 4 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 4 
A) 1, 4 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 4 B

Question 3

Initially, a mild case of TTN manifests itself clinically as a(n) _____ disorder.

Accepted Answer

A)  restrictive pulmonary 
B)  obstructive pulmonary 
C)  equally restrictive and obstructive 
D)  initially obstructive and then a progressively restrictive 
A)  restrictive pulmonary 
B)  obstructive pulmonary 
C)  equally restrictive and obstructive 
D)  initially obstructive and then a progressively restrictive A

Question 4

Which of the following is not typically performed in the general management of a patient with TTN?

Accepted Answer

A)  Oxygen therapy administration 
B)  Administration of diuretics 
C)  Proper stabilization 
D)  Ruling out other serious conditions 
A)  Oxygen therapy administration 
B)  Administration of diuretics 
C)  Proper stabilization 
D)  Ruling out other serious conditions

Question 5

In reviewing the chart of a neonate who has developed TTN, what is a likely finding related to the Apgar score?

Accepted Answer

A)  The 1- and 5-minute scores are good. 
B)  The 1-minute score is good and 5-minute score is bad. 
C)  The 1-minute score is bad and 5-minute score is good. 
D)  Both scores are bad. 
A)  The 1- and 5-minute scores are good. 
B)  The 1-minute score is good and 5-minute score is bad. 
C)  The 1-minute score is bad and 5-minute score is good. 
D)  Both scores are bad.

Question 6

At what gestational age is TTN most common?

Accepted Answer

A)  26 to 28 weeks' gestational age 
B)  28 to 30 weeks' gestational age 
C)  34 to 36 weeks' gestational age 
D)  38 to 40 weeks' gestational age 
A)  26 to 28 weeks' gestational age 
B)  28 to 30 weeks' gestational age 
C)  34 to 36 weeks' gestational age 
D)  38 to 40 weeks' gestational age

Question 7

On a chest radiograph, starbursts are indicative of:

Accepted Answer

A)  bacterial pneumonia. 
B)  carinal carcinoma. 
C)  pulmonary vascular congestion. 
D)  foreign body aspiration. 
A)  bacterial pneumonia. 
B)  carinal carcinoma. 
C)  pulmonary vascular congestion. 
D)  foreign body aspiration.

Question 8

What are the radiologic findings anticipated on a chest radiograph taken 2 hours after delivery in a newborn suspected of having TTN?

Accepted Answer

A)  Normal lung fields 
B)  Hyperlucency 
C)  Flattened diaphragms 
D)  Bulging intercostal spaces 
A)  Normal lung fields 
B)  Hyperlucency 
C)  Flattened diaphragms 
D)  Bulging intercostal spaces

Question 9

Which of the following oxygenation indices would be elevated in TTN?

Accepted Answer

A)  Arterial-venous oxygen content difference 
B)  Oxygen consumption 
C)  Mixed venous oxygen saturation 
D)  Pulmonary shunt fraction 
A)  Arterial-venous oxygen content difference 
B)  Oxygen consumption 
C)  Mixed venous oxygen saturation 
D)  Pulmonary shunt fraction

Question 10

An infant with a mild case of TTN will show which of the following arterial blood gas values?
1) Increased pH
2) Decreased pH
3) Low PaO2
4) Low PaCO2

Accepted Answer

A) 1, 4 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4 
A) 1, 4 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4

Question 11

The causes of TTN include:
1) mother's diagnosis of cystic fibrosis.
2) infant's hypoxemia.
3) mother's hypoxemia.
4) infant's inadequate inspiratory effort.

Accepted Answer

A) 1, 3 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 12

The major pathologic and structural changes associated with TTN include:
1) decreased removal of fluid by pulmonary lymphatics.
2) air trapping.
3) pleural effusion.
4) atelectasis.

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 1, 2, 3 
D) 2, 3, 4 
A) 1, 2 
B) 3, 4 
C) 1, 2, 3 
D) 2, 3, 4

Question 13

Risk factors for the development of TTN include:
1) maternal diabetes.
2) male gender.
3) maternal bleeding.
4) breech delivery.

Accepted Answer

A) 1, 3 
B) 2, 4 
C) 1, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 2, 4 
C) 1, 3, 4 
D) 1, 2, 3

Question 14

Which of the following breathing patterns are associated with TTN?
1) Normal rate
2) Rapid rate
3) Higher than normal tidal volume
4) Shallow tidal volume

Accepted Answer

A) 1, 3 
B) 2, 3 
C) 1, 4 
D) 2, 4 
A) 1, 3 
B) 2, 3 
C) 1, 4 
D) 2, 4

Question 15

What respiratory rate would be expected during the physical examination of a patient with TTN?

Accepted Answer

A)  60 to 100 breaths/min 
B)  40 to 60 breaths/min 
C)  20 to 40 breaths/min 
D)  Less than 20 breaths/min 
A)  60 to 100 breaths/min 
B)  40 to 60 breaths/min 
C)  20 to 40 breaths/min 
D)  Less than 20 breaths/min

Question 16

Initially, TTN will have a clinical presentation similar to:

Accepted Answer

A)  the early stage of respiratory distress syndrome (RDS). 
B)  the late stage of respiratory distress syndrome (RDS). 
C)  bronchial pneumonia. 
D)  meconium aspiration syndrome (MAS). 
A)  the early stage of respiratory distress syndrome (RDS). 
B)  the late stage of respiratory distress syndrome (RDS). 
C)  bronchial pneumonia. 
D)  meconium aspiration syndrome (MAS).

Question 17

How soon will TTN begin to resolve after birth?

Accepted Answer

A)  4 to 6 hours after birth 
B)  12 to 24 hours after birth 
C)  48 to 72 hours after birth 
D)  72 to 96 hours after birth 
A)  4 to 6 hours after birth 
B)  12 to 24 hours after birth 
C)  48 to 72 hours after birth 
D)  72 to 96 hours after birth

Exam 36: Transient Tachypnea of the Newborn

Which of the following radiologic findings would not be expected in a 12-hour-old neonate with TTN?

Which of the following clinical manifestations are associated with the more negative intrapleural pressures needed during inspiration? 1) Thick, tenacious secretions 2) Intercostal retractions 3) Nasal flaring 4) Mediastinal shift

Initially, a mild case of TTN manifests itself clinically as a(n) _____ disorder.

Which of the following is not typically performed in the general management of a patient with TTN?

In reviewing the chart of a neonate who has developed TTN, what is a likely finding related to the Apgar score?

At what gestational age is TTN most common?

On a chest radiograph, starbursts are indicative of:

What are the radiologic findings anticipated on a chest radiograph taken 2 hours after delivery in a newborn suspected of having TTN?

Which of the following oxygenation indices would be elevated in TTN?

An infant with a mild case of TTN will show which of the following arterial blood gas values? 1) Increased pH 2) Decreased pH 3) Low PaO2 4) Low PaCO2

The causes of TTN include: 1) mother's diagnosis of cystic fibrosis. 2) infant's hypoxemia. 3) mother's hypoxemia. 4) infant's inadequate inspiratory effort.

The major pathologic and structural changes associated with TTN include: 1) decreased removal of fluid by pulmonary lymphatics. 2) air trapping. 3) pleural effusion. 4) atelectasis.

Risk factors for the development of TTN include: 1) maternal diabetes. 2) male gender. 3) maternal bleeding. 4) breech delivery.

Which of the following breathing patterns are associated with TTN? 1) Normal rate 2) Rapid rate 3) Higher than normal tidal volume 4) Shallow tidal volume

What respiratory rate would be expected during the physical examination of a patient with TTN?

Initially, TTN will have a clinical presentation similar to:

How soon will TTN begin to resolve after birth?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Filters

An infant with a mild case of TTN will show which of the following arterial blood gas values? 1) Increased pH 2) Decreased pH 3) Low PaO₂ 4) Low PaCO₂