NEONATAL RESPIRATORY SUPPORT ACTUAL EXAM

NEONATAL RESPIRATORY SUPPORT ACTUAL EXAM

• In a clinical scenario where a neonate is experiencing hypoxia, which

physiological response would you expect to enhance oxygen delivery to tissues?A right shift in the oxygen-hemoglobin dissociation curve An increase in hemoglobin concentration A left shift in the oxygen-hemoglobin dissociation curve Increased respiratory rate without change in hemoglobin affinity

• In a clinical scenario where a neonate is experiencing elevated CO2

levels, which ventilation strategy would be most appropriate to implement based on the effects of HFJV?Implement HFJV to decrease PIP and increase iTime.Switch to conventional ventilation to increase PIP.Use CPAP to maintain current PIP levels.Increase the rate of conventional ventilation to lower CO2.

• What are the primary benefits of non-invasive respiratory support in

neonates?Maintain functional residual capacity (FRC), stabilize chest wall, decrease work of breathing (WOB), and improve oxygenation.Increase lung volume, enhance carbon dioxide retention, and reduce oxygen saturation.Facilitate invasive ventilation, increase respiratory rate, and improve lung compliance.Decrease airway resistance, improve blood circulation, and stabilize heart rate. 1 / 4

• In a clinical scenario where a neonate exhibits decreased lung

compliance, how would Pressure Support Ventilation (PSV) be affected in terms of tidal volume delivery?Tidal volume would likely decrease due to increased resistance and decreased compliance.Tidal volume would remain constant regardless of compliance changes.Tidal volume would increase to compensate for decreased compliance.Tidal volume would be unaffected by changes in lung compliance.

• Describe the significance of the Rule of 6 in determining the appropriate

Nasal ET size for neonates.The Rule of 6 helps to ensure that the Nasal ET size is appropriate for the neonate's weight, promoting effective ventilation.The Rule of 6 is used to calculate the dosage of medication for neonates.The Rule of 6 determines the length of time for ventilation support.The Rule of 6 is a guideline for assessing fetal health.

• Describe the significance of the HFOV Oxygenation Golden Rule in the

context of RDS management.It helps optimize oxygenation while minimizing lung injury by adjusting pressure settings.It ensures that the MAP is always above 20 cm H2O.It is a method to increase tidal volume for better ventilation.It is used to determine the need for intubation in neonates. 2 / 4

• Describe the significance of maintaining the same Mean Airway Pressure

(MAP) when using HFOV compared to conventional ventilation methods.Maintaining the same MAP ensures consistent oxygenation and ventilation efficacy between HFOV and conventional methods.It allows for higher oxygen levels without affecting lung compliance.It reduces the risk of air leaks in the lungs during ventilation.It simplifies the adjustment of oxygen levels in the blood.

• In a clinical scenario where a neonate is experiencing elevated CO2

levels, which ventilation strategy would be most appropriate to implement based on the principles of HFJV?Increase the rate of ventilation Decrease the peak inspiratory pressure Increase the inspiratory time Switch to conventional ventilation

• What do the acronyms PIP and PEEP stand for in the context of neonatal

ventilation?Peak Inspiratory Pressure and Positive End-Expiratory Pressure Pressure Inhalation Peak and Pressure End-Expiration Peak Positive Inspiratory Pressure and End-Expiratory Pressure Peak Inspiratory Power and Positive End-Expiration Pressure

• Describe the significance of the Biophysical Profile (BPP) in assessing

fetal health.The Biophysical Profile (BPP) evaluates key fetal variables to determine the risk of fetal distress or complications. 3 / 4

The BPP measures maternal health indicators to assess fetal well- being.The BPP focuses solely on fetal heart rate to predict delivery outcomes.The BPP is used to assess the mother's nutritional status during pregnancy.

• An OI > ___ in neonatal patients indicates that they should be placed of

HFOV.10 15 20 25 30

• What does Volume Control Ventilation specifically deliver with each

breath?Tidal volume Respiratory rate Mean airway pressure Oxygen concentration

• If a neonate presents with excessive sleepiness and sunken fontanelles,

what immediate action should a healthcare provider take?Assess hydration status and consider fluid replacement.Increase the neonate's feeding schedule.Monitor for signs of infection only.Administer a sedative to improve sleep.

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