Question 1

All of the following are usually performed in the general management of a patient with TTN EXCEPT:

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. B

Question 2

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 D

Question 3

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

Accepted Answer

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

Question 4

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 5

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 6

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

Accepted Answer

A)  80 to 120 breaths/min 
B)  30 to 40 breaths/min 
C)  20 to 30 breaths/min 
D)  Less than 20 breaths/min 
A)  80 to 120 breaths/min 
B)  30 to 40 breaths/min 
C)  20 to 30 breaths/min 
D)  Less than 20 breaths/min

Question 9

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 10

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 11

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

Question 12

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 13

All of the following radiologic findings would be expected in a 12-hour-old neonate with TTN EXCEPT:

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.

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

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

Question 16

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 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 34: Transient Tachypnea of the Newborn

All of the following are usually performed in the general management of a patient with TTN EXCEPT:

At what gestational age is TTN most common?

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

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

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

Initially, TTN will have a clinical presentation similar to:

On a chest radiograph, starbursts are indicative of:

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

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.

Which of the following oxygenation indices would be elevated in 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

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

All of the following radiologic findings would be expected in a 12-hour-old neonate with TTN EXCEPT:

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

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

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.

How soon will TTN begin to resolve after birth?

The Patient Interview

The Physical Examination and Its Basis in Physiology

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Respiratory Failure and the Mechanical Ventilation Protocol

Recording Skills: The Basis for Data Collection, Organization, Assessment Skill

Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

Asthma

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Tuberculosis

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Clinical Manifestations Common with Newborn and Early Childhood Respiratory Dis

Meconium Aspiration Syndrome

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Congenital Heart Diseases

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning/Wet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Atelectasis

Filters

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