Question

Shortly after admission, an infant born at 30 weeks is noted to have audible grunting. Which of the following should the RT conclude?

a) Normal respiratory pattern
b) Nasal congestion
c) Respiratory distress syndrome (RDS)
d) Surfactant deficiency

Answer 1

The grunting in a premature infant is indicative of Respiratory Distress Syndrome (RDS), which is caused by insufficient production of pulmonary surfactant necessary for proper lung inflation and gas exchange.

Step-by-step explanation:

Regarding the infant born at 30 weeks with audible grunting, the respiratory therapist (RT) should conclude that the symptoms are indicative of Respiratory Distress Syndrome (RDS). Grunting is often a sign that the baby is having difficulty breathing and is trying to keep their airways open to help increase the amount of oxygen that gets into the lungs. Since RDS primarily occurs in premature infants due to the insufficient production of pulmonary surfactant, this condition prevents the lungs from inflating properly and leads to difficulty in gas exchange. Prompt medical intervention is critical and may include supplemental oxygen, the administration of pulmonary surfactant, and assisted ventilation if necessary.