Neonatal respiratory distress syndrome Quiz: Ace Your Exams
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A newborn boy is evaluated after being delivered by c-section at 31 weeks 5 days gestation due to maternal pre-eclampsia. The pregnancy was otherwise uncomplicated and there was appropriate prenatal care. Two doses of betamethasone were administered to the mother in the week before delivery. Maternal prenatal labs were negative. The infant is brought to the warmer immediately after delivery. He appears dusky and has a weak cry. Resuscitation is initiated by drying, stimulating, and warming the infant. Bulb suction is used to clear oral and nasal passages. After one minute, the heart rate is 76 bpm. On examination, there is expiratory grunting, diminished breath sounds, and bradycardia. Peripheral pulses are diminished. Which of the following is the best next step in management?
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