Author Question: Which child would require a Mantoux test? a. The child who has episodes of nighttime wheezing and ... (Read 13 times)

lbcchick · **on:** Jun 27, 2018

Which child would require a Mantoux test?

a. The child who has episodes of nighttime wheezing and coughing
b. The child who has a history of allergic rhinitis
c. The child whose babysitter is diagnosed with tuberculosis
d. The premature infant who is being treated for apnea of infancy

Question 2

A nurse is teaching a class to parents on respiratory distress syndrome (RDS). Which statement about RDS indicates the parents understood the teaching?

a. Factors causing chronic fetal stress increase the incidence of RDS.
b. RDS is the leading cause of respiratory failure in premature infants.
c. RDS is caused by an overproduction of surfactant in fetal development.
d. The incidence of RDS is significantly lower as gestational age decreases.

triiciiaa · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
The Mantoux test is the initial screening mechanism for patients exposed to tuberculosis. Nighttime wheezing and coughing are consistent with a diagnosis of asthma. Allergic rhinitis would require an allergy workup. The premature infant who is being treated for apnea of infancy would require a sleep study as part of the evaluation.

Answer to Question 2

B
RDS is the leading cause of respiratory failure in premature infants. Things that tend to cause chronic fetal stress, such as maternal hypertension, drug abuse, and prolonged rupture of membranes, decrease the incidence of hyaline membrane disease. RDS occurs in infants with insufficient amounts of surfactant or immature lung development. The incidence of RDS increases as gestational age decreases.