Test Bank for Neonatal and Pediatric Respiratory Care 4th Edition Brian K Walsh Download

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  • ISBN-10 ‏ : ‎ 145575319X
  • ISBN-13 ‏ : ‎ 978-1455753192
  • Author:  Brian K. Walsh PhD RRT-NPS RRT-ACCS RPFT FAARC
  • A comprehensive text on respiratory care for neonates, infants, and children, Neonatal and Pediatric Respiratory Care, 4th Edition provides a solid foundationin the assessment and treatment of respiratory care disorders. Clear, full-color coverage emphasizes clinical application of the principles of neonatal/pediatric respiratory care. New to this edition is coverage of the latest advances in clinical practice, a chapter devoted to quality and safety, and summary boxes discussing real-world clinical scenarios. From author Brian Walsh, an experienced educator and respiratory therapist, this text is an excellent study tool for the NBRC’s Neonatal/Pediatric Specialty exam!

Table of contents:

  1. Contributors
  2. EVOLVE CONTRIBUTOR
  3. Reviewers
  4. Preface
  5. Audience
  6. New to this edition
  7. Learning AIDS
  8. Evolve resources—http://evolve.elsevier.com/walsh/neonatal
  9. For the instructor
  10. For students
  11. Acknowledgments
  12. SECTION I Fetal Development, Assessment and Delivery
  13. Chapter 1 Fetal lung development
  14. Learning objectives
  15. Key terms
  16. Phases of lung development
  17. TABLE 1-1 Classification of Phases of Human Intrauterine Lung Growth
  18. Embryonal phase
  19. Pseudoglandular phase
  20. FIGURE 1-1  Embryonal stage of lung development. A to C, The trachea and major bronchi at 4 weeks; D and E, 5 weeks; F, 6 weeks; G, 8 weeks.
  21. Canalicular phase
  22. Saccular phase
  23. Alveolar phase
  24. FIGURE 1-2  Canalicular stage of lung development at 22 weeks of gestation. A terminal bronchiole (bottom left) leads into a prospective acinus. Note that branches are sparse.
  25. FIGURE 1-3  Saccular stage of lung development at 29 weeks of gestation. Secondary crests (arrows) begin to divide saccules into smaller compartments.
  26. FIGURE 1-4  Alveolar stage of lung development at 36 weeks of gestation. Note the double capillary network (solid arrows, center and right) and the single capillary layer (arrow at left).
  27. FIGURE 1-5  Alveolar stage of lung development at 36 weeks of gestation: Thin-walled alveoli are present.
  28. Postnatal lung growth
  29. Factors affecting prenatal and postnatal lung growth
  30. Abnormal lung development
  31. Pulmonary hypoplasia
  32. Alveolar cell development and surfactant production
  33. Fetal lung liquid
  34. Key points
  35. Assessment questions
  36. References
  37. Chapter 2 Fetal gas exchange and circulation
  38. Learning objectives
  39. Key terms
  40. Embryological overview
  41. Fertilization to implantation
  42. Box 2-1 Origin of the Various Tissue Systems from the Three Embryonic Germ Layers
  43. Ectoderm
  44. Mesoderm
  45. Endoderm
  46. Maternal–fetal gas exchange
  47. FIGURE 2-1  Implanted human embryo, approximately day 28, showing the relationship of the chorion, amnion, and chorionic villi. The umbilical cord and tail are difficult to differentiate in this view.
  48. Cardiovascular development
  49. Early development
  50. TABLE 2-1 Timetable of Significant Events During Fetal Heart Development
  51. Chamber development
  52. FIGURE 2-2  Formation of the primordial heart chambers after fusion of the heart tubes at a gestational age of 3 weeks.
  53. Maturation
  54. Fetal circulation and fetal shunts
  55. FIGURE 2-3  A, Sagittal view of the developing heart during week 4, showing the position of the atrium, bulbus cordis, ventricles, and endocardial cushions merging from the ventral and dorsal sides. B, Traditional view of the developing heart during weeks 4 to 5, showing budding interventricular septum, fused endocardial cushions, septum primum, and the left and right atria. The ventricular septum continues to fold and grow upward between the ventricles.
  56. FIGURE 2-4  Frontal view of the fetal heart between weeks 5 and 6, showing the development of the four chambers nearing completion. The arrow shows the one-way path through the foramen ovale.
  57. FIGURE 2-5  Frontal view (right) and side view (left) schematics of the foramen ovale. The septum primum forms the flap, and the septum secundum remains open to form the foramen ovale. The arrows show the one-way path through the foramen ovale.
  58. FIGURE 2-6  A diagram of the fetal circulation showing blood containing oxygen and nourishment moving from the placenta to the fetal heart and through the three fetal shunts: the ductus venosus, the foramen ovale, and the ductus arteriosus.
  59. Transition to extrauterine life
  60. CASE STUDY Prematurity-Associated Respiratory Distress
  61. Key points
  62. Assessment questions
  63. References
  64. Chapter 3 Antenatal assessment and high-risk delivery
  65. Learning objectives
  66. Key terms
  67. Maternal and perinatal disorders
  68. Diabetes mellitus
  69. Pregestational diabetes mellitus.
  70. Gestational diabetes mellitus.
  71. TABLE 3-1 Criteria for the Diagnosis of Diabetes Mellitus Using Oral Glucose Tolerance Testing
  72. Infectious diseases
  73. Group B Streptococcus
  74. Herpes simplex virus
  75. Human immunodeficiency virus and hepatitis B virus
  76. HIV.
  77. HBV.
  78. Toxic habits in pregnancy
  79. Alcohol
  80. Smoking
  81. Cocaine
  82. Other substances
  83. High-risk conditions
  84. Hypertension and preeclampsia
  85. Box 3-1 Predisposing Factors for the Development of Preeclampsia
  86. Box 3-2 Criteria for the Diagnosis of Severe Preeclampsia
  87. Fetal membranes, umbilical cord, and placenta
  88. Disorders of amniotic fluid volume
  89. Preterm birth
  90. TABLE 3-2 Infant Mortality Rates in the United States, 2008
  91. Box 3-3 Medical Risk Factors Associated with Preterm Labor and Delivery
  92. FIGURE 3-1  A pie chart of the four most common reasons for preterm birth.
  93. Cervical insufficiency
  94. Postterm pregnancy
  95. FIGURE 3-2  Ultrasound picture of a fetus at 23 weeks of gestation (top), with a Doppler study of the fetal heart (bottom). Dop, Doppler; Fr, frame; Freq, frequency; PRF, pulse-repetition frequency; SV, sample volume; WF, wall filter.
  96. Antenatal assessment
  97. Ultrasound
  98. Amniocentesis
  99. Nonstress test and contraction stress test
  100. FIGURE 3-3  In amniocentesis, a needle is inserted through the expectant mother’s abdomen to aspirate fluid from the amniotic sac. The fluid can then be tested to detect chromosomal abnormalities in fetal cells or other problems and to determine fetal lung maturity.
  101. Fetal biophysical profile
  102. Mode of delivery
  103. Breech presentation
  104. FIGURE 3-4  A nonstress test recording, produced with a cardiotocograph. A, The fetal heart rate (FHR) is recorded with an ultrasound probe as changes in beats per minute (bpm) over time. B, Uterine contractions (UC) are recorded with a pressure transducer as changes in pressure (mm Hg) over time. In this case the nonstress test is reactive, indicating normal uteroplacental function.
  105. TABLE 3-3 Biophysical Profile Scoring
  106. Assisted vaginal delivery
  107. Cesarean delivery
  108. Transient tachypnea of the newborn/type II respiratory distress syndrome
  109. Intrapartum monitoring
  110. FIGURE 3-5  Early decelerations (coinciding with uterine contraction) usually are due to fetal head compression and pose little threat to the fetus.
  111. FIGURE 3-6  Variable decelerations are the most common. They are due to cord compression and have different configurations. Repetitive severe variable decelerations are associated with increased risk of fetal hypoxia.
  112. FIGURE 3-7  Late decelerations are due to uteroplacental insufficiency. They usually begin at the peak of the contraction and are associated with fetal distress.
  113. TABLE 3-4 Normal Values for Fetal Scalp Blood and Umbilical Cord Blood Gases
  114. Fetal transition to extrauterine life
  115. CASE STUDY
  116. Key points
  117. Assessment questions
  118. References
  119. SECTION II Assessment and Monitoring of the Neonatal and Pedicatric Patient
  120. Chapter 4 Examination and assessment of the neonatal and pediatric patient
  121. Learning objectives
  122. Key terms
  123. Stabilizing the neonate
  124. Drying and warming
  125. Clearing the airway
  126. Box 4-1 Perinatal Factors Associated with Increased Risk of Neonatal Depression
  127. Antepartum (fetomaternal)
  128. Intrapartum
  129. FIGURE 4-1  Radiant warmer.
  130. FIGURE 4-2  Meconium aspirator.
  131. Providing stimulation
  132. Apgar score
  133. TABLE 4-1 Apgar Scoring
  134. Gestational age and size assessment
  135. Physical examination of the neonate
  136. Vital signs
  137. General inspection
  138. FIGURE 4-3  New Ballard score.
  139. Respiratory function
  140. FIGURE 4-4  Weeks of gestation.
  141. TABLE 4-2 Normal Values for Vital Signs in the Neonatal Patient
  142. FIGURE 4-5  Left-sided brachial plexus.
  143. FIGURE 4-6  Mongolian spot.
  144. TABLE 4-3 Common Dermal Findings in the Neonatal Patient
  145. TABLE 4-4 Signs of Respiratory Distress in the Neonatal Patient
  146. FIGURE 4-7  Silverman score.
  147. Chest and cardiovascular system
  148. Abdomen
  149. Head and neck
  150. FIGURE 4-8  A, Gastroschisis. B, Omphalocele.
  151. Musculoskeletal system, spine, and extremities
  152. FIGURE 4-9  Infant with spina bifada.
  153. FIGURE 4-10  A, Myelomeningocele with intact sac. B, Myelomeningocele with ruptured sac.
  154. Cry
  155. Neurological assessment
  156. Pediatric patient history
  157. FIGURE 4-11  Moro reflex.
  158. Chief complaint
  159. New patient history
  160. Follow-up or established patient history
  161. Box 4-2 New Patient History
  162. Chief complaint or primary reason for visit
  163. Medical history
  164. Review of symptoms
  165. Box 4-3 Follow-up or Established Patient History
  166. Chief complaint or previous diagnosis or problem
  167. Interim history
  168. Review of key components
  169. Pulmonary examination
  170. Box 4-4 Pulmonary Examination
  171. Inspection
  172. TABLE 4-5 Normal Respiratory Rates in Sleeping and Awake Pediatric Patients
  173. FIGURE 4-12  Head bobbing.
  174. FIGURE 4-13  Intercostal retractions. Soft tissue between the ribs is pulled inward (retracted) because of the extremely high negative pleural pressure.
  175. FIGURE 4-14  Suprasternal retractions. Soft tissue in the suprasternal space is retracted because of high negative pressure, most often caused by the patient’s attempt to breathe against an airway obstruction.
  176. FIGURE 4-15  Subcostal/substernal retractions. Airway obstruction results in a pulling inward of the lower costal margins. The abdomen is protruding (1), and there is a sunken substernal notch (2). See-saw movement of the chest and stomach is also present.
  177. Palpation
  178. FIGURE 4-16  Technique for determining tracheal position in the older child.
  179. Percussion
  180. Auscultation
  181. Nonpulmonary examination
  182. Box 4-5 Nonpulmonary Examination: Findings Possibly Associated with Pulmonary Disease
  183. General
  184. Ears, eyes, nose, throat
  185. Heart
  186. Abdomen

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