Question 2687
{"accessible":false,"alternatives":[{"id":13147,"text":"meconium aspiration"},{"id":13148,"text":"neonatal infection"},{"id":13149,"text":"neonatal pneumothorax"},{"id":13150,"text":"respiratory distress syndrome"},{"id":13151,"text":"transient tachypnea of the newborn"}],"archived":false,"correctAlternativeId":13150,"explanation":"\u003cp\u003eThe clinical scenario here describes a neonate with respiratory distress syndrome, a condition almost exclusively seen in preterm neonates. Any neonate born before 37 weeks gestation is considered a preterm neonate. Those born before 34 weeks are at significantly increased risk of respiratory distress syndrome because of a reduction in surfactant.\u003c/p\u003e\u003cp\u003eMeconium aspiration is usually the result of a complicated, traumatic delivery. Transient tachypnea of the newborn is usually the result of a term baby being born by a cesarian section.\u003c/p\u003e","id":2687,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2688","nextQuestionPath":"/articles/respiratory-distress-syndrome/questions/1108","relatedArticles":[{"id":2198,"title":"Transient tachypnea of the newborn","link":"/articles/transient-tachypnoea-of-the-newborn?lang=us"},{"id":12170,"title":"Meconium aspiration","link":"/articles/meconium-aspiration?lang=us"}],"alsoUsedIn":[{"id":1726,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1726","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1726"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":280,"kind":"LiveSchedule","title":"280","link":"https://radiopaedia.org/admin/live_schedules/280"},{"id":1484,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1484","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1484"},{"id":1484,"kind":"Course","title":"Paediatric Lectures - page 1484","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/1484"}],"stem":"\u003cp\u003eA 32-week gestation neonate is born after spontaneous preterm labor. APGARs are reported as 7 and 9. Over the first hours, there is an increased oxygen requirement, and the neonate is ventilated. What is the most likely diagnosis? \u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2687"}],"attemptsPercentages":[{"alternativeId":"13151","percentage":6},{"alternativeId":"13147","percentage":4},{"alternativeId":"13148","percentage":1},{"alternativeId":"13150","percentage":87},{"alternativeId":"13149","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"respiratory-distress-syndrome"}