peadiatric mcqs on Respiratory Distress Syndrome MCQs for nursing students Leave a Comment / Nursing Questions and Answers | Exam Revision Guide / By admmin Respiratory Distress Syndrome mcqs for nursing students Read each question carefully before answering Answer all parts of the question where applicable The last question, write your answers in one paragraph, separating with numbers 1 / 25 a) How is the severity of RDS assessed during hourly monitoring? By checking for the presence of a fever. By noting the severity of retraction and grunting. By measuring the baby's length By the frequency of bowel movements. 2 / 25 b) What equipment is use to keep the baby warm during RDS management? Incubator or radiant warmer. Warm water bottles. heavy warm blanket Electric heating pads. 3 / 25 c) Which of the following describes tachypnea in a newborn with RDS? <40b/m >50b/m >60b/m >70b/m 4 / 25 d) What is the primary role of intravenous infusion in a baby with RDS? Preventing nasal flaring. Maintaining acid-base balance and nutritional status Providing a source of artificial surfactant. Reducing the respiratory rate. 5 / 25 e) In the management of RDS, why are antibiotics administered? To reduce the inflammation of the hyaline membrane. To prevent or treat secondary bacterial infections. To help the baby gain weight faster. To stimulate the production of surfactant. 6 / 25 f) What should be monitored while performing endotracheal suctioning on a baby with RDS? Rectal temperature. Oxygen saturation. Urine color. The baby's birth weight. 7 / 25 g) Which symptom refers to the visible inward pulling of the chest muscles during breathing? Tachypnea Cyanosis Chest wall retractions Nasal flaring 8 / 25 h) Which nutrient or vitamin is part of the management of a baby with RDS? Vitamin C Vitamin D Vitamin K Vitamin E 9 / 25 i) What is the recommended approach regarding the handling of a critically ill infant with RDS? Frequent physical therapy is required to clear the lungs. The infant should be moved to a different incubator daily. The infant should be minimally handled. The infant should be held by the parents every hour. 10 / 25 j) Which diagnostic investigation involves the analysis of pH and pCO2 levels in the blood? Chest X-ray. Urine output monitoring. Shake test. Arterial blood gas analysis. 11 / 25 k) According to the principles of management, what is the importance of a 'thermo neutral environment'? It increases the production of surfactant. It prevents the growth of bacteria on the skin. It minimizes the infant's oxygen and energy consumption. It allows the baby to sleep for longer periods. 12 / 25 l) Why should a baby with RDS be positioned with the head elevated? To reduce the pressure on the diaphragm. To encourage the baby to cry louder. To increase the heart rate. To prevent the occurrence of cyanosis. 13 / 25 m) Which nursing intervention is recommended to protect the skin of a baby receiving oxygen via face mask or nasal prongs for long durations? Applying a soothing antibiotic ointment Rotating the mask every 15 minutes. Using adhesive tape to secure the mask firmly. Washing the face with soap every hour. 14 / 25 n) What target oxygen saturation percentage is recommended for a baby weaning from a ventilator? 90−95% 70−75% 80−85% 98−100% 15 / 25 o) Why is the weight of a baby with RDS measured daily? To determine the severity of lung congestion. To assess the adequacy of fluid administration. To monitor the infant's growth rate. To calculate the dosage of antibiotics. 16 / 25 p) What is the primary purpose of placing a folded sheet or towel under the shoulders of an infant with RDS? To increase the blood flow to the lower extremities. To prevent the development of pressure sores on the back. To provide comfort and reduce crying episodes. To extend the head slightly and keep the airway patent. 17 / 25 q) How frequently should the temperature of a baby with RDS be monitored until it becomes stable? Once per shift. Every 1 hour. Every 4 hours. Every 15 minutes. 18 / 25 r) When weaning a baby from a ventilator, what is the target range for PaO2 when oxygen is administered via a hood? 30−50 mmHg 50−80 mmHg 00−120 mmHg 90−100 mmHg 19 / 25 s) How frequently should the temperature of a baby with RDS be monitored until it becomes stable? A. Once per shift. Every 1 hour. Every 4 hours. Every 15 minutes. 20 / 25 t) What finding in a 'shake test' performed on gastric aspirate indicates a positive result for the presence of surfactant? Complete bubbles seen in the meniscus of the aspirate. A change in color of the aspirate to blue The presence of blood in the aspirate. The rapid settling of sediment at the bottom. 21 / 25 u) Which sign is specifically described as 'expiry grunting' in the context of RDS symptoms? The sound of fluid moving in the upper airway. A sound made during exhalation to maintain airway pressure. A high-pitched sound during inhalation. A repetitive coughing fit during feeding. 22 / 25 v) what is the incidence rate of RDS in babies born at 26−28 weeks? 25% 10% 50% 75% 23 / 25 w) Which of the following was the previous name for Respiratory Distress Syndrome? Hyaline membrane disease. Bronchopulmonary dysplasia Neonatal pneumonia. Wet lung syndrome. 24 / 25 x) What is the primary underlying cause of Respiratory Distress Syndrome (RDS) in premature infants? infection of the lower respiratory tract developmental insuficiancy of surfactant to production excesive lung maturiation of gestational age over production of the hyline membrane fluid 25 / 25 y) Outline the specific nursing management of a baby with RDS Check Your score isThe average score is 32% 0%
