Respiratory Quiz #4, Neonatal Distress Syndrome  

1. A premature newborn presents with grunting, nasal flaring, and cyanosis shortly after birth. Chest X-ray reveals a ground-glass appearance with air bronchograms. Which of the following is the primary pathophysiological mechanism underlying this newborn's condition? 

Question 1 of 5

2. A term newborn develops respiratory distress within minutes after cesarean delivery. The infant's mother has diabetes that was poorly controlled during pregnancy. Which of the following factors most likely contributed to the development of respiratory distress in this newborn?

Question 2 of 5

3. A preterm infant born at 28 weeks of gestation is diagnosed with respiratory distress syndrome and started on mechanical ventilation. Despite initial improvement, the infant develops worsening respiratory status on day 4 of life, characterized by increasing oxygen requirements and bilateral opacities on chest X-ray. Which of the following is the most likely complication that has developed in this infant? 

Question 3 of 5

4. A newborn delivered at 34 weeks of gestation presents with respiratory distress. Examination reveals a barrel-shaped chest, expiratory grunting, and intercostal retractions. Administration of which of the following is the most appropriate initial treatment for this condition? 

Question 4 of 5

5. A 32-week gestation newborn is admitted to the NICU for management of respiratory distress syndrome. Which of the following prenatal interventions most likely decreases the severity of this condition?

Question 5 of 5


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