A 6-hour-old newborn develops a critical respiratory problem and is rushed to the ICU. The ICU nurses suspect the infant has respiratory distress syndrome (RDS) based on which findings? Select all that apply

A) Bluish discoloration of the skin and mucous membranes (central cyanosis)
B) Substernal retractions with each breathe
C) Periorbital edema
D) Clubbed fingers
E) Expiratory grunting


Ans: A, B, E
Feedback:
Infants with RDS present with multiple signs of respiratory distress, usually within the first 24 hours of birth. Central cyanosis is a prominent sign. Breathing becomes more difficult, and retractions occur as the infant's soft chest wall is pulled in as the diaphragm descends. Grunting sounds accompany expiration. Periorbital edema is usually associated with kidney disease in infants. Clubbed fingers occur over a long period of time (years) in clients with COPD.

Health & Biomechanics

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