In the neonatal intensive care unit, a 4-hour-old girl is evaluated. After 3 hours of labor, the patient was born at 30 weeks gestation via spontaneous vaginal delivery. When labor began, the membranes ruptured and the amniotic fluid appeared clear. Due to signs of breathing difficulty, the child was immediately placed on continuous positive airway pressure via nasal prongs. The temperature is 36.7 degrees Celsius (98 degrees Fahrenheit), the pulse rate is 158 bpm, and the respirations rate is 54 /min. On 60% oxygen, pulse oximetry is 92% accurate. The examination reveals audible grunting as well as subcostal chest wall retractions. A cardiac exam reveals no murmurs. An x-ray of the chest is taken:: The radiographic findings in this patient most likely represent which of the following?

Question

In the neonatal intensive care unit, a 4-hour-old girl is evaluated. After 3 hours of labor, the patient was born at 30 weeks gestation via spontaneous vaginal delivery. When labor began, the membranes ruptured and the amniotic fluid appeared clear. Due to signs of breathing difficulty, the child was immediately placed on continuous positive airway pressure via nasal prongs. The temperature is 36.7 degrees Celsius (98 degrees Fahrenheit), the pulse rate is 158 bpm, and the respirations rate is 54 /min. On 60% oxygen, pulse oximetry is 92% accurate. The examination reveals audible grunting as well as subcostal chest wall retractions. A cardiac exam reveals no murmurs. An x-ray of the chest is taken::  The radiographic findings in this patient most likely represent which of the following?

Quizplus · Accepted Answer

Eductional Objective: Inadequate surfactant production causes increased alveolar surface tension and decreased alveolar compliance in neonates with respiratory distress syndrome. On a chest x-ray, diffuse alveolar collapse (atelectasis) is seen as ground-glass opacities with air bronchograms.

In the Neonatal Intensive Care Unit, a 4-Hour-Old Girl Is