11: Respiratory Distress

Question 1

Respiratory distress score 0, 1, or 2?

Air entry delayed or decreased

Answer 1

1

Question 2

Respiratory distress score 0, 1, or 2?

Cyanosis on room air

Answer 2

1

Question 3

Respiratory distress score 0, 1, or 2?

No cyanosis

Answer 3

0

Question 4

Respiratory distress score 0, 1, or 2?

Air entry clear

Answer 4

0

Question 5

Which maternal medications can cause neonatal depression?

Answer 5

Narcotics
Barbiturates
Magnesium

Question 6

Respiratory distress score 0, 1, or 2?

RR >80 or apneic episode

Answer 6

2

Question 7

Respiratory distress score 0, 1, or 2?

Air entry barely audible

Answer 7

2

Question 8

Respiratory distress score 0, 1, or 2?

No retractions

Answer 8

0

Question 9

Respiratory distress score 0, 1, or 2?

Moderate to severe retractions

Answer 9

2

Question 10

Respiratory distress score 0, 1, or 2?

RR 60-80

Answer 10

1

Question 11

Respiratory distress score 0, 1, or 2?

Grunting audible without stethoscope

Answer 11

2

Question 12

Respiratory distress score 0, 1, or 2?

Grunting audible with stethoscope

Answer 12

1

Question 13

Respiratory distress score 0, 1, or 2?

Cyanosis in 40% FiO2

Answer 13

2

Question 14

Respiratory distress score 0, 1, or 2?

No grunting

Answer 14

0

Question 15

Respiratory distress score 0, 1, or 2?

RR 60

Answer 15

0

Question 16

What periods of apnea are considered normal?

Answer 16

Most newborn infants breathe irregularly and at varying depths. Respirations are periodic (i.e., episodes of 5–10 seconds without breathing) rather than regular, particularly if the infant is premature. Apnea refers to a cessation of breathing ≥20 seconds in duration, during which an infant’s color changes from normal to cyanotic. This is abnormal and requires investigation and treatment.

Question 17

Respiratory distress score 0, 1, or 2?

Mild retractions

Answer 17

1