Persistent Pulmonary Hypertension Of The Newborn (Pphn)

21 Questions | Total Attempts: 1023

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Persistent Pulmonary Hypertension Of The Newborn (Pphn) - Quiz

I affirm, by submitting this online test and evaluation, that I have read the material in this educational offering. I verify that the personal information submitted is mine and for the purpose of obtaining continuing education credit. Contact hours are offered for continuing education. Therefore, they are valid only for the first time this activity is completed. I affirm that this is the first time I have submitted the test and evaluation for credit for this activity. There are 15 questions on this test. A score of 85% is required to be successful; no more than 2 questions may be incorrect. Good Luck!Questions 16-21 are your evaluation of this learning activity. This evaluation must be completed to receive credit. Thank you.


Questions and Answers
  • 1. 
    General comments -
  • 2. 
    Persistent pulmonary hypertension of the newborn (PPHN) is the persistence of a pattern of fetal blood flow.
    • A. 

      True

    • B. 

      False

  • 3. 
    If the fetal blood flow pattern continues following birth, oxygenation is difficult for the neonate.
    • A. 

      True

    • B. 

      False

  • 4. 
    PPHN is most commonly seen in -
    • A. 

      Post-term infant

    • B. 

      Term infant

    • C. 

      Term infant with aspiration syndrome

    • D. 

      All of the above

  • 5. 
    The most important transition event that occurs with birth is -
    • A. 

      Pulmonary vascular resitance increases

    • B. 

      Systemic vascular resistance decreases

    • C. 

      The ductus arteriosus closes

    • D. 

      Effective respirations and ventilation are established

  • 6. 
    The _______________ is located in the septum between the atria and allows the blood to bypass pulmonary circulation.
    • A. 

      Ductus venosus

    • B. 

      Foramen ovale

    • C. 

      Ductus arteriosus

    • D. 

      Ductus hepaticus

  • 7. 
    The ________________ is the pathway between the pumonary artery and aorta and allows blood to bypass pulmonary circulation.
    • A. 

      Ductus venosus

    • B. 

      Foramen ovale

    • C. 

      Ductus arteriosus

    • D. 

      Ductus hepaticus

  • 8. 
    Birth marks the beginning of pulmonary-based blood flow.
    • A. 

      True

    • B. 

      False

  • 9. 
    For the following question, check all answer(s) that apply. PPHN may be caused by -
    • A. 

      Muscularization of the pulmonary blood vessels

    • B. 

      Congenital heart defects

    • C. 

      Neonatal sepsis

    • D. 

      Hypothermia and hypoglycemia

  • 10. 
    For the following question, check all answer(s) that apply. Symptoms of PPHN may include -
    • A. 

      Tachypnea, tachycardia, hypotension

    • B. 

      Murmur, acidosis, lethargy

    • C. 

      Abdominal distension, decreased urine output

    • D. 

      Retractions, color changes, hypocalcemia

  • 11. 
    The main goal in the management of PPHN is correction of asphyxia and acidosis.
    • A. 

      True

    • B. 

      False

  • 12. 
    Oxygen is a potent vasodilator and should be considered a first line drug in the management of PPHN.
    • A. 

      True

    • B. 

      False

  • 13. 
    Placement of an umbilical artery catheter (UAC) should be considered to provide continuous BP monitoring and access for arterial blood gases.
    • A. 

      True

    • B. 

      False

  • 14. 
    A sedative to consider using for the infant with PPHN is -
    • A. 

      Fentanyl

    • B. 

      Morphine sulphate

    • C. 

      Phenobarbital

    • D. 

      All of the above

  • 15. 
    Air leaks and bronchopulmonary dysplasia (BPD) are possible sequelae to PPHN.
    • A. 

      True

    • B. 

      False

  • 16. 
    Morbidity for PPHN continues to be about 75%.
    • A. 

      True

    • B. 

      False

  • 17. 
    The following questions are the activity evaluation. Discuss the transition from fetal cardiopulmonary blood flow to adult blood flow pattern.
    • A. 

      Excellent

    • B. 

      Good

    • C. 

      Fair

    • D. 

      Poor

  • 18. 
    Identify risk factors for developing PPHN.
    • A. 

      Excellent

    • B. 

      Good

    • C. 

      Fair

    • D. 

      Poor

  • 19. 
    Describe clinical presentation of PPHN.
    • A. 

      Excellent

    • B. 

      Good

    • C. 

      Fair

    • D. 

      Poor

  • 20. 
    Discuss the management of PPHN.
    • A. 

      Excellent

    • B. 

      Good

    • C. 

      Fair

    • D. 

      Poor

  • 21. 
    Identify potential outcome for PPHN.
    • A. 

      Excellent

    • B. 

      Good

    • C. 

      Fair

    • D. 

      Poor

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