Pediatrics Shelf Practice Questions - NBME Clinical Science Subject Examination In Pediatrics Exam

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A term newborn delivered by scheduled cesarean section has tachypnea and mild retractions 1 hour after birth. Oxygen saturation is 93% on room air. Chest radiograph shows hyperinflation with fluid in the interlobar fissures. The mother was afebrile and membranes ruptured at delivery. What is the most appropriate management?

Immediate endotracheal surfactant Supportive care with oxygen as needed Ampicillin and gentamicin for 10 days Emergent surgical repair of a diaphragmatic hernia

Correct Answer:

Supportive care with oxygen as needed

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