Exam 35: Respiratory Distress Syndrome

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:

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

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

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?

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

What is the primary cause of RDS in the newborn?

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 of RDS?

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

In assessing a patient with RDS, the respiratory therapist would expect to find all of the following EXCEPT:

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

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

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

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

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

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

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

All of the following amniotic fluid lab findings would indicate mature fetal lungs EXCEPT: