A full-term neonate shows signs of respiratory distress after delivery by cesarean section.The baby is placed on nasal CPAP at 4 cm H₂O with an FɪO₂ of 0.6.The ABG results on these settings are: pH = 7.32,PₐCO₂ = 45 mm Hg,PₐO₂ = 48 mm Hg,SₐO₂ = 70%,HCO₃⁻ = 22 mEq/L.The respiratory therapist should recommend which of the following?

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The ABG results show that the neonate is adequately ventilated.This eliminates the need for NIPPV because the CPAP level is not optimized at this time,and the FɪO₂ is set at a high level.The ABG results also show that the patient has not had an adequate response to the CPAP of 4 cm H₂O with an FɪO₂ 0.6.The CPAP can be increased in increments of 1-2 cm H₂O until it reaches 10 cm H₂O.Intubating for the use of ventilator CPAP would not provide any benefit over noninvasive CPAP and would increase the risk of nosocomial infection.

A Full-Term Neonate Shows Signs of Respiratory Distress After Delivery