Exam 4: Exam and Assessment of the Neonatal and Pediatric Patient

The therapist has completed a 1-minute Apgar score.The following evaluations were obtained: (1)the infant is pale (2)the heart rate is 90 beats/minute (3)the respiratory effort is irregular (4)some muscle tone is noted;and (5)no response to nasal suctioning is found. On the basis of these findings,what Apgar score should be assigned to this neonate?

The gestational age of a newborn has been evaluated to be 34 weeks.The newborn's birth weight is greater than the 90th percentile.How should the therapist classify this infant?

Which of the following pulmonary diseases are not chest wall deformities but are characterized by an increased anteroposterior diameter?

A physical examination is being performed on a newborn,and the therapist notices that the infant's arms do not move symmetrically.Which of the following situations could account for this problem?

A newborn does not appear to respond to the extrauterine environment.Cry is weak and the respiratory effort is not strong.Which of the following methods should the therapist use to stimulate the newborn?

As the head of a neonate contaminated with meconium emerges at birth,the heart rate monitor indicates 120 beats/minute,and the physician notices that the infant has good muscle tone and a strong respiratory effort.What should the physician do at this time to provide airway care?

The therapist is evaluating a newborn with an abdominal defect consisting of protrusion of the membranous sac that encloses abdominal contents through an opening in the abdominal wall into the umbilical cord.Which of the following conditions is consistent with this description?

Which of the following statements refers to the diagnostic procedure called transillumination?

Which of the following pieces of information represent components of patient history for a new pediatric patient? I.Chief complaint II.History of present illness III.Past medical history IV.Occupational history

The therapist notices that an infant presents with irregular areas of dusky skin alternating with areas of pale skin.On the basis of this observation,which of the following conditions should the therapist anticipate this patient having?

Which of the following neonatal skin presentations at birth is associated with a high hematocrit value or polycythemia and neonatal hyperviscosity syndrome?

Which of the following factors are taken into consideration when assessing the gestational age of a neonate? I.Previous maternal pregnancies II.Prenatal ultrasound evaluations III.Postnatal findings based on physical and neurologic examinations IV.Gestational duration based on the last menstrual cycle

What should the therapist do to avert injury and atelectasis,and to avoid interfering with the infant's ability to establish adequate ventilation,while stabilizing a preterm neonate before resuscitation? I.Use a bulb syringe. II.Avoid excessive suctioning of clear fluid from the nasopharynx. III.Use a suction catheter clearing the mouth first and then the nose. IV.Suction using direct laryngoscopy.

Which of the following components of a patient's medical history is intended to determine the presence of symptoms not identified in the history of present illness and may be related or contribute to the child's underlying condition?

A neonate is found to have a bounding pulse.Which of the following conditions may contribute to this finding?

Why is it difficult to localize auscultation findings of the thorax of a newborn?

While performing a physical examination on a newborn infant,the therapist notices that the point of maximal cardiac impulse is to the left of the sternal border.Which of the following conditions can cause this situation?

For the purpose of assessing right-to-left shunting,as in the case of persistent pulmonary hypertension,which of the following sites would render postductal blood? I.Right arm II.Left arm III.Right leg IV.Left leg

During a physical examination of a child's chest,the therapist perceives increased tactile fremitus over the patient's right lower lobe.Which of the following conditions may cause this physical sign?

An infant arrives in the newborn nursery with an axillary body temperature of 95.6° F.Which of the following events may be responsible for this infant's temperature?