Neonatal respiratory distress syndrome Quiz: Ace Your Exams
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A newborn girl is born prematurely via spontaneous vaginal delivery. There was appropriate prenatal care. Maternal prenatal labs were negative. The infant develops respiratory distress within 10 minutes after delivery. After failing to respond to positive pressure ventilation in the delivery room, the infant is intubated. The neonatologist informs the parents that the patient would benefit from administration of surfactant. Temperature is 36.8°C (98.2°F), pulse is 156/min, respirations are 35/min, and oxygen saturation is 94% on mechanical ventilation. On physical examination, the infant is intubated with noted improvement in respiration. Breath sounds are decreased bilaterally. Heart rate is normal, and no murmur is appreciated. In addition to prematurity, which of the following would be considered a risk factor for this patient’s likely diagnosis?
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