Multiple Choice

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Chapter 41

Multiple Choice

Multiple Choice

This activity contains 10 questions.

Complication(s) that may result from hypoxia during the birth process include:

	persistent fetal circulation.
	spinal cord defects.
	hypothermia.
	hypovolemia.
	both A and C

The most common cause of cardiac arrest in a newborn is:

	congenital abnormalities.
	meconium aspiration.
	hypovolemia.
	hypoxia.
	diaphragmatic hernia.

A newborn infant presents with peripheral cyanosis and signs of respiratory distress. Your exam reveals a small, flat abdomen with bowel sounds present in the chest. Heart sounds are displaced to the right. You suspect:

	ductus arteriosus.
	Pierre Robin syndrome.
	diaphragmatic hernia.
	omphalocele.
	congenital defect.

Reasons for hypothermia in preterm newborns include all of the following EXCEPT:

	underdeveloped lungs and respiratory structures.
	smaller subcutaneous reserves of insulating fat.
	underdeveloped thermoregulatory mechanisms.
	large body surface area in relation to small weight.
	inability to shiver and maintain body temperature.

Seizures in neonatal patients are often the result of:

	developmental abnormalities.
	drug withdrawal.
	fever.
	metabolic disturbances.
	all of the above

The presence of meconium at birth means that you should immediately:

	start bag-valve-mask ventilation.
	suction the trachea.
	stimulate the baby to breathe.
	start cardiopulmonary resuscitation.
	none of the above

Your best indicator of distress in an infant is the:

	heart rate.
	respiratory rate.
	cardiac rhythm.
	blood pressure.
	both A and C

If the infant has cyanosis after you warm and dry her/him, and use tactile stimulation, then you should:

	begin CPR.
	insert an endotracheal tube.
	start bag-valve-mask ventilation.
	administer supplemental oxygen with blow-by.
	Any of the above actions is acceptable.

A pulse rate of less than 100 beats per minute in a newborn infant:

	requires immediate cardiopulmonary resuscitation.
	is an indication for administration of atropine.
	indicates a child in distress.
	is normal.
	both B and C

Apnea in neonates may be related to which of the following?

	CNS disorders
	maternal narcotic use
	sepsis
	all of the above
	none of the above

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