A newborn infant shows respiratory distress upon delivery. He is observed to have a scaphoid abdomen. Auscultation reveals diminished breath sounds with heart sounds on the right side of the chest. What is the infant's most likely diagnosis?
a. Tension pneumothorax
b. CDH
c. Pneumoperitoneum
d. Abdominal aortic aneurysm
B
A newborn with a CDH will have diminished breath sounds and heart sounds on the right side of the chest. A scaphoid abdomen is seen when the stomach and intestines have moved into the thoracic cavity.
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