Quiz Ch 5, 6

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noah.aisner
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Quiz Ch 5, 6
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2010-07-03 19:32:02
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Quiz Ch 5, 6
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  1. 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
    Ill. Postnatal findings based on physical and neurologic examinations
    IV. Gestational duration based on the last menstrual cycle
    A. I and Ill only
    B. I, II, and IV only
    C. III, and IV only
    D. I, II, and III only
    C. III, and IV only
    (this multiple choice question has been scrambled)
  2. 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?
    A. Small for gestational age
    B. Average for gestational age
    C. Large for gestational age
    D. Very large for gestational age
    C. Large for gestational age
    (this multiple choice question has been scrambled)
  3. 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?
    A. The newborn has protracted diarrhea.
    B. The delivery room temperature was low.
    C. The neonate was in an infant warmer in the delivery room.
    D. The infant was swaddled in numerous blankets.
    B. The delivery room temperature was low.
    (this multiple choice question has been scrambled)
  4. 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. An injury to the infant’s brachial plexus may have occurred during birth.
    B. The infant may have been born breach.
    C. The baby was born via cesarean section.
    D. The infant experienced nuchal cords during birth.
    A. An injury to the infant’s brachial plexus may have occurred during birth.
    (this multiple choice question has been scrambled)
  5. 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?
    A. Situs inversus with dextrocardia
    B. Polycythemia
    C. Hypotension
    D. Renal insufficiency
    C. Hypotension
    (this multiple choice question has been scrambled)
  6. Which of the following neonatal skin presentations at birth is associated with a high hematocrit value or polycythemia and neonatal hyperviscosity syndrome?
    A. Lanugo
    B. Vemix
    C. Mottling
    D. Reddish blue appearance
    D. Reddish blue appearance
    (this multiple choice question has been scrambled)
  7. Why are chest retractions more prominent among neonates than among older children and adults?
    A. Because neonates have a much higher respiratory rate.
    B. Because neonates generate a greater subatmospheric intrapleural pressure.
    C. Because newborns have relatively thin and weak musculature, and a less rigid thorax.
    D. Because airway resistance through the smaller caliber airways is higher.
    C. Because newborns have relatively thin and weak musculature, and a less rigid thorax.
    (this multiple choice question has been scrambled)
  8. Why is it difficult to localize auscultation findings of the thorax of a newborn?
    A. Because the newborn’s pulmonary compliance is low.
    B. Because the neonate’s tidal volume is so small.
    C. Because the neonate’s chest is small and sounds are difficult to differentiate.
    D. Because the newborn infant is frequently crying.
    C. Because the neonate’s chest is small and sounds are difficult to differentiate.
    (this multiple choice question has been scrambled)
  9. 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?
    A. Bilateral pulmonary consolidation
    B. Atelectasis of the right lung
    C. Left mainstem bronchus intubation
    D. Right-sided pneumothorax
    D. Right-sided pneumothorax
    (this multiple choice question has been scrambled)
  10. Which of the following statements refers to the diagnostic procedure called transillumination?
    A. Place a light source between the surface of the bed and the patient’s back, and orient the patient in a supine position.
    B. Position a beam of light against a patient’s chest wall in a well-lit room.
    C. Direct a light source toward the ipsilateral surface of the patient’s thorax.
    D. Insert a fiberoptic light sourne down a patient’s endotracheal tube and beyond the tube’s distal tip.
    C. Direct a light source toward the ipsilateral surface of the patient’s thorax.
    (this multiple choice question has been scrambled)
  11. A neonate is found to have a bounding pulse. Which of the following conditions may contribute t this finding?
    I. Patent ductus arteriosus
    II. Hypoplastic left-sided heart syndrome
    Ill. Coarctation of the aorta
    IV. Left-to-right shunt
    A. I, Ill, and IV only
    B. I and IV only
    C. I and II only
    D. II and Ill only
    B. I and IV only
    (this multiple choice question has been scrambled)
  12. What condition would be responsible for the therapist observing a pulse oximeter indicating decreased perfusion while central blood pressure remains normal?
    A. Hypoplastic left-sided heart syndrome
    B. Volume depletion with compensatory peripheral vasoconstriction
    C. Hypervolemia with compensatory peripheral vasodilation
    D. Hypoplastic right-sided heart syndrome
    B. Volume depletion with compensatory peripheral vasoconstriction
    (this multiple choice question has been scrambled)
  13. 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
    Ill. Right leg
    IV. Left leg
    A. I only
    B. 1,III, and IV only
    C. II only
    D. II, III, and IV only
    D. II, III, and IV only
    (this multiple choice question has been scrambled)
  14. Which of the following conditions can cause abdominal distention?
    I. Enterocolitis
    II. Ascites
    III. Congenital diaphragmatic hernia
    IV. Omphalocele
    A. II, III, and IV only
    B. I, III, and IV only
    C. I and II only
    D. I, II, and IV only
    C. I and II only
    (this multiple choice question has been scrambled)
  15. Which of the following conditions are associated with scaphoid abdomen?
    I. Necrotizing enterocolitis
    II. Gastroschisis
    III. Prune-belly syndrome
    IV. Sepsis
    A. II, Ill, and IV only
    B. II and III only
    C. I, II, and III only
    D. I arid IV only
    B. II and III only
    (this multiple choice question has been scrambled)
  16. While performing an examination of the abdomen of a neonate, the therapist is able to palpate the infant’s liver 1 to 2 cm below the right costal margin. Which of the following conditions can account for this development?
    A. Normal liver position
    B. Splenomegaly
    C. Right ventricular failure
    D. Hepatomegaly
    A. Normal liver position
    (this multiple choice question has been scrambled)
  17. After the umbilical cord has been cut in the delivery room during the delivery of a large for gestational age infant, the therapist notices that the umbilical cord is large and fat. Which of thE following maternal conditions is likely present?
    A. Diabetes mellitus
    B. Hypertension
    C. Congestive heart failure
    D. Renal insufficiency
    A. Diabetes mellitus
    (this multiple choice question has been scrambled)
  18. A newborn who presents as pale, mottled, floppy, with little interest in feeding, and slightly irritabl ost likely has which of the following conditions?
    A Sepsis
    B. Respiratory distress syndrome
    C. Retinopathy of prematurity
    D. Cri du chat
    A Sepsis
  19. The therapist has placed a pulse oximeter probe on a finger of the right hand of a newborn and another pulse oximeter probe on a toe of the infant’s left foot. The pulse oximeter on the right hand reads 80% and the one on the left foot indicates 65%. Which of the following disease conditions does this neonate possibly have?
    A. Choanal atresia
    B. Diaphragmatic hernia
    C. Persistent pulmonary hypertension of the newborn
    C. Persistent pulmonary hypertension of the newborn
    (this multiple choice question has been scrambled)
  20. D. Suprapubic aspiration
    Which of the following white blood cell counts constitutes the condition leukopenia?
    A. Greater than or equal to 25,000/mm
    B. Less than or equal to 3500/mm
    C. 10,000 to 20,000/mm
    D. 5000 to 10,000/mm
    B. Less than or equal to 3500/mm
    (this multiple choice question has been scrambled)
  21. Which of the following 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
    A. I and II only
    B. III and IV only
    C. I, II, and III only
    D. I, II, III, and IV
    C I, II, and III only
  22. The presentation in the emergency department of a 7-year-old child with a productive cough, diaphoresis, and fever while on vacation with her parents represents which of the following chief complaints?
    A. Cystic fibrosis
    B Pneumonia
    C. Asthma exacerbation
    D. Respiratory distress
    D. Respiratory distress
  23. Which of the following components comprise the history of present illness section of a patient’s medical history?
    I. Frequency and duration of symptoms
    II. Symptoms exhibited by parents
    III. Onset of symptoms
    IV. Symptoms resulting in hospitalizations
    A. I, II, and IV only
    B. II, III, and IV only
    C. I and III only
    D. I, II, and III only
    C. I and III only
    (this multiple choice question has been scrambled)
  24. Which of the following components comprise the past medical history section of the patient’s medical history?
    I. Birth weight
    II. Previous mechanical ventilation
    Ill. Recurrence of symptoms based on season
    IV. Emergency department visits
    A. II and IV only
    B. I, II, and IV only
    C. I, II, Ill, and IV
    D. II only
    B. I, II, and IV only
    (this multiple choice question has been scrambled)
  25. 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 that may be related or contribute to the child’s underlying condition?
    A. Chief complaint
    B. Review of systems
    C. History of present illness
    D. Past medical history
    B. Review of systems
    (this multiple choice question has been scrambled)
  26. A child who demonstrates head bobbing, nasal flaring, and grunting is exhibiting the signs of
    A. Acidemia
    B. Hypoxemia
    C. Hypercapnia
    D. Respiratory distress
    D. Respiratory distress
    (this multiple choice question has been scrambled)
  27. Which of the following pulmonary diseases are not chest wall deformities, but are characterized by an increased anteroposterior diameter?
    I. Pectus excavatum
    II. Severe asthma
    III. Pneumonia
    IV. Cystic fibrosis
    A I and III only
    B. II and IV only
    C. II, III, and IV only
    D. I, II, Ill, and IV
    B. II and IV only
  28. 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
    A. Mucous plug
    B. Aspirated foreign object
    C. Pulmonary consolidation
    D. Pneumothorax
    C. Pulmonary consolidation
    (this multiple choice question has been scrambled)
  29. While percussing the thorax of a child during a physical examination, the therapist hears a dull percussion note over the child’s right lung. Which of the following conditions may cause this physical finding?
    I. Atelectasis
    II. Pneumothorax
    III. Pleural effusion
    IV. Consolidation
    A. I, II, and IV only
    B. I, II, III, and IV
    C. I and II only
    D. II, III, and IV only
    A. I, II, and IV only
    (this multiple choice question has been scrambled)
  30. After placing a stethoscope over a small child’s trachea, the therapist hears expiratory stridor. Which of the following conditions is consistent this finding?
    A. Adenotonsillar hypertrophy
    B. Tracheomalacia
    C. Laryngotracheobronchitis
    D. Asthma episode
    B. Tracheomalacia
    (this multiple choice question has been scrambled)
  31. While auscultating a young child’s thorax, the therapist hears bilateral fine crackles. Which of the following conditions can produce these adventitious sounds?
    A. Croup
    B. Bronchitis
    C. Asthma
    D. Pulmonary edema
    D. Pulmonary edema
    (this multiple choice question has been scrambled)
  32. Examination of the ears, eyes, nose, and throat may reveal findings associated with which of the following conditions?
    A. Allergies
    B. Lymph adenopathy
    C. Cerebral palsy
    D. Immunodeficiency
    A. Allergies
    (this multiple choice question has been scrambled)
  33. What is the cause of hepatosplenomegaly associated with advanced cystic fibrosis?
    A. Low pancreatic enzymes
    B. Hypertension caused by extracellular Na
    C. Right ventricular failure
    D. Thick secretions
    C. Right ventricular failure
    (this multiple choice question has been scrambled)
  34. Which of the following terms is used to describe a low-pitched, wet sound similar to snoring, which suggests nasopharyngeal, oropharyngeal, and/or hypopharyngeal airway obstruction?
    A. Crackles
    B. Stertor
    C. Rhonchi
    D. Stridor
    B. Stertor
    (this multiple choice question has been scrambled)
  35. When performing a physical examination of the thorax, in what order should the therapist proceed the assessment?
    A. Inspection, percussion, palpation, and auscultation
    B. Palpation, inspection percussion, and auscultation
    C. Inspection, palpation, percussion, and auscultation
    D. Percussion, palpation, auscultation, and inspection
    C. Inspection, palpation, percussion, and auscultation
    (this multiple choice question has been scrambled)

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