Final answer:
The RT should recommend to monitor the infant closely without changes to the FIO2 since the current oxygen saturation is within acceptable limits and the condition is transient tachypnea of the newborn, not RDS.
Step-by-step explanation:
The question pertains to the management of a term infant with transient tachypnea who is receiving oxygen at an FIO2 of 0.023. Based on the clinical data provided, the infant has a respiratory rate (RR) of 50 breaths/min, a heart rate (HR) of 120 BPM, and an oxygen saturation (SPO2) of 93%. The correct recommendation would be to monitor closely without changes. The SPO2 is within acceptable limits, indicating that the infant is receiving adequate oxygen at the current FIO2. Increasing the FIO2 is unnecessary as long as SPO2 remains in the target range, and decreasing it could jeopardize the infant's oxygenation. Surfactant administration is not indicated in transient tachypnea of the newborn, as this condition is typically due to delayed resorption of alveolar fluid rather than surfactant deficiency, which is more characteristic of respiratory distress syndrome (RDS).