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Test Bank for Perinatal and Pediatric Respiratory Care, 3rd Edition: Walsh

Test Bank for Perinatal and Pediatric


Respiratory Care, 3rd Edition: Walsh
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Description:
With the in-depth coverage you need, this text helps you provide quality
treatment for neonates, infants and pediatric patients. It discusses the
principles of neonatal and pediatric respiratory care while emphasizing
clinical application. Not only is this edition updated with the latest
advances in perinatal and pediatric medicine, but it adds a new chapter on
pediatric thoracic trauma plus new user-friendly features to simplify
learning.

1. Front Matter
2. Dedication
3. Contributors
4. Reviewers
5. Preface
6. AUDIENCE
7. New to this Edition
8. LEARNING AIDS
9. Evolve Resources—http://evolve.elsevier.com/Walsh/perinatal/
10. For the Instructor
11. For Students
12. ACKNOWLEDGMENTS
13. Section I Fetal Development, Assessment, and Delivery
14. Chapter 1 Fetal Lung Development
15. LEARNING OBJECTIVES
16. STAGES OF LUNG DEVELOPMENT
17. Embryonal Stage
18. TABLE 1-1 Classification of Stages of Human Intrauterine Lung Growth
19. Pseudoglandular Stage
20. FIGURE 1-1 Embryonal stage of lung development: the trachea and major bronchi at
A to C, 4 weeks; D and E, 5 weeks; F, 6 weeks; G, 8 weeks.
21. Canalicular Stage
22. 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.
23. Saccular Stage
24. Alveolar Stage
25. POSTNATAL LUNG GROWTH
26. FIGURE 1-3 Saccular stage of lung development at 29 weeks of gestation. Secondary
crests (arrows) begin to divide saccules into smaller compartments.
27. 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).
28. FIGURE 1-5 Alveolar stage of lung development at 36 weeks of gestation: thin-walled
alveoli are present.
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. ASSESSMENT QUESTIONS
35. References
36. Chapter 2 Fetal Gas Exchange and Circulation
37. LEARNING OBJECTIVES
38. MATERNAL-FETAL GAS EXCHANGE
39. 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.
40. Box 2-1 Origin of the Various Tissue Systems From the Three Embryonic Germ
Layers*
41. ECTODERM
42. MESODERM
43. ENDODERM
44. CARDIOVASCULAR DEVELOPMENT
45. Early Development
46. TABLE 2-1 Timetable of Significant Events During Fetal Heart Development
47. Chamber Development
48. FIGURE 2-2 Formation of the primordial heart chambers after fusion of the heart
tubes at a gestational age of 3 weeks.
49. 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.
50. Maturation
51. 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.
52. 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.
53. FETAL CIRCULATION AND FETAL SHUNTS
54. 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.
55. TRANSITION TO EXTRAUTERINE LIFE
56. ASSESSMENT QUESTIONS
57. References
58. Chapter 3 Antenatal Assessment and High-risk Delivery
59. LEARNING OBJECTIVES
60. MATERNAL HISTORY AND RISK FACTORS
61. Preterm Birth
62. Cervical Insufficiency
63. Toxic Habits in Pregnancy
64. Alcohol
65. Smoking
66. Cocaine
67. Hypertension and Diabetes Mellitus
68. Hypertension
69. Diabetes
70. Pregestational Diabetes
71. Gestational Diabetes Mellitus
72. Infectious Diseases
73. Group B Streptococcus
74. Herpes Simplex Virus
75. Hepatitis B Virus and Human Immunodeficiency Virus
76. HIV
77. HBV
78. Fetal Membranes, Umbilical Cord, and Placenta
79. Disorders of Amniotic Fluid Volume
80. Mode of Delivery
81. Breech Presentation
82. Assisted Vaginal Delivery
83. Cesarean Delivery
84. ANTENATAL ASSESSMENT
85. Ultrasound
86. FIGURE 3-1 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.
87. Amniocentesis
88. Nonstress Test and Contraction Stress Test
89. FIGURE 3-2 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.
90. Fetal Biophysical Profile
91. INTRAPARTUM MONITORING
92. HIGH-RISK CONDITIONS
93. Preterm Labor
94. TABLE 3-1 Biophysical Profile Scoring
95. FIGURE 3-3 Early decelerations (coinciding with uterine contraction) are usually due
to fetal head compression and pose little threat to the fetus.
96. FIGURE 3-4 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.
97. FIGURE 3-5 Late decelerations are due to uteroplacental insufficiency. They usually
begin at the peak of the contraction and are associated with fetal distress.
98. TABLE 3-2 Normal Values for Fetal Scalp Blood and Umbilical Cord Blood Gases
99. Postterm Pregnancy
100. ASSESSMENT QUESTIONS
101. References
102. Chapter 4 Neonatal Assessment and Resuscitation
103. LEARNING OBJECTIVES
104. PREPARATION
105. Box 4-1 Perinatal Factors Associated With Increased Risk of Neonatal
Depression
106. ANTEPARTUM (FETOMATERNAL)
107. INTRAPARTUM
108. STABILIZING THE NEONATE
109. Drying and Warming
110. FIGURE 4-1 Correct and incorrect head positions for resuscitation.
111. Clearing the Airway
112. FIGURE 4-2 Meconium aspirator, with an endotracheal tube attached to one
end and a suction source attached at the other end.
113. Providing Stimulation
114. ASSESSING THE NEONATE
115. Respiration
116. Heart Rate
117. Skin Color
118. Apgar Score
119. FIGURE 4-3 Algorithm for resuscitation of the newborn. HR, Heart rate
(beats/min).
120. TABLE 4-1 Apgar Scoring
121. Apgar Score in the Very Low Birth Weight Infant
122. RESUSCITATING THE NEONATE
123. Oxygen Administration
124. Ventilation
125. FIGURE 4-4 Correct technique for holding a mask to the face of a newborn.
Note that fingers do not touch the neck or soft tissue under the chin.
126. FIGURE 4-5 Incorrect technique for holding a mask to the face of a newborn.
Note that the fingers are touching the neck and soft tissue under the chin, causing
airway obstruction.
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