CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam

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A preterm infant with respiratory distress syndrome (RDS) on bubble CPAP at 6 cm H2O develops increasing respiratory distress. The nurse notes increased work of breathing with nasal flaring and seesaw respirations. The SpO2 is 88% on 35% oxygen. What is the most appropriate initial action?

Increase CPAP pressure to 8 cm H2O and increase FiO2 Administer surfactant via endotracheal tube Intubate and initiate mechanical ventilation Perform suctioning and assess for mask leak

Correct Answer:

Increase CPAP pressure to 8 cm H2O and increase FiO2

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