Exam 8: Common Neonatal Complications: Multisystem Complications

What three risk factors are associated with necrotizing enteroColitis in term infants I.Umbilical catheters II.Exchange transfusions III.Polycythemia IV.Hyperoxia at time of delivery V.Increase in interstitial fluid pressure

When managing a mechanically ventilator patient with intraventricular hemorrhage, what values should a registered respiratory therapist be most Concerned with I.PaCO₂ II.PaO₂ III.pH IV.HCo₃

Significant progress has been made in developing therapies to slow the progression of necrotizing enteroColitis.

Vascular endothelial growth factor medication is effective in halting development of retinopathy of prematurity in which of the following situations I.As a rescue therapy when surgery does not produce adequate regression II.In Combination therapy with laser surgery III.As solitary treatment IV.As a preventative to low birth weight in infants

What factors can alter cerebral blood flow I.Patent ductus arteriosus with shunting II.Hypoxemia III.Coagulopathy IV.Alkalosis V.Adrenal sufficiency

You are caring for a mechanically ventilated neonate at risk of developing intraventricular hemorrhage.Choose the best practice guidelines for this patient. I.Synchronized mode of ventilation II.Adjust peak inspiratory pressure to maintain pH 7.45-7.55, PaCO₂ 40-45 mm Hg, and tidal volume within normal limits. III.Adjust peak inspiratory pressure to maintain pH 7.25 to 7.35, PaCO₂ 40-55 mm Hg, and tidal volume within normal limits. IV.Tidal volume 6-8 mL/kg V.Respiratory rate 30-60 breaths/minute VI.I-time 0.3-0.4 seCond VII.Positive end-expiratory pressure 5-10 cm H₂O

What settings on a Conventional ventilator are frequently adjusted by a registered respiratory therapist when managing the pulmonary Complications of necrotizing enteroColitis I.Increase in positive end-expiratory pressure II.Increase in peak airway pressure III.Decrease in positive end-expiratory pressure IV.Decrease in peak airway resistance pressure

The risk of cerebral palsy in patients with low-grade intraventricular hemorrhage is significantly higher for 24 week gestation infants.

When does a patent ductus arteriosus usually present in an infant

The number of patients with retinopathy of prematurity in the developed world has reduced drastically since the introduction of new patient care technology.

Which of the following can a registered respiratory therapist employ to most effectively assess the quality of lung inflation in a patient with necrotizing enteroColitis

In patients with necrotizing enteroColitis, there is a direct link to the amount of bowel removed to their likelihood of survival.

Which of the following can be used in the management of an infant with necrotizing enteroColitis I.DeCompression of bowel II.Replacement of blood products III.IV antibiotics IV.Total parenteral nutrition V.IV prostaglandin inhibitor

Which of the following are options to treat a patient who presents with patent ductus arteriosus with pulmonary edema on chest radiograph I.Consider high-frequency oscillatory ventilation. II.Increase positive end-expiratory pressure. III.Administer exogenous surfactant. IV.Administer oxygen.

What are steps the health-care team can implement to minimize the risk of intraventricular hemorrhage I.Delay Cord clamping 30 to 120 seConds after delivery. II.Immediate delivery III.Prenatal steroids IV.Pressure Control ventilation only V.Monitor hemodynamic values. VI.Pressure Control ventilation and Controlled mandatory ventilation

Mechanically ventilated patients with a patent ductus arteriosus present what additional challenge for registered respiratory therapists

How is patent ductus arteriosus treated I.Surgical ligation II.Decrease in fluid intake III.Indomethacin IV.IV ibuprofen V.Treating hypoxemia

What laboratory tests are essential to diagnose the presence of necrotizing enteroColitis I.Complete blood Count II.Basic metabolic panel III.C-reactive protein IV.Electrolyte panel V.Clotting function VI.Abdominal radiograph VII.Blood cultures

When patent ductus arteriosus is not responsive to medical therapy, the risk of death beComes greater.

Which of the following statements is true regarding fatalities in patients diagnosed with necrotizing enteroColitis