NPS NPS Respiratory Management

Question 1

What is the target oxygen saturation range recommended for preterm neonates less than 32 weeks gestation?

Accepted Answer

91–95%

Answer

85–89%

Answer

96–99%

Answer

100%

Question 2

Which ventilation mode delivers a set tidal volume regardless of changes in lung compliance in mechanically ventilated neonates?

Accepted Answer

Volume-guaranteed ventilation (VG)

Answer

Pressure-controlled ventilation (PCV)

Answer

High-frequency oscillatory ventilation (HFOV)

Answer

Synchronized intermittent mandatory ventilation (SIMV)

Question 3

A neonate on HFOV has a rising PaCO2. Which ventilator parameter should be increased?

Accepted Answer

Amplitude (ΔP)

Answer

Mean airway pressure (MAP)

Answer

Frequency (Hz)

Answer

Inspired oxygen (FiO2)

Question 4

What tidal volume range is recommended for lung-protective ventilation in ventilated neonates?

Accepted Answer

4–6 mL/kg

Answer

2–3 mL/kg

Answer

7–9 mL/kg

Answer

10–12 mL/kg

Question 5

Which finding on chest X-ray is classic for neonatal respiratory distress syndrome (RDS)?

Accepted Answer

Diffuse ground-glass opacity with air bronchograms

Answer

Hyperinflation with flattened diaphragms

Answer

Lobar consolidation

Answer

Pleural effusions

Question 6

A term neonate presents with tachypnea, mild hypoxia, and a chest X-ray showing fluid in the horizontal fissure and perihilar streaking. What is the most likely diagnosis?

Accepted Answer

Transient tachypnea of the newborn (TTN)

Answer

Meconium aspiration syndrome

Answer

Neonatal pneumonia

Answer

Pneumothorax