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Pediatrics General 8f62da07

With reference to RDS, all of the following statements are true, EXCEPT -

A
Usually occurs in infants born before 34 weeks of gestation
B
Is more common in babies born to diabetic mothers
C
Leads to cyanosis
D
Is treated by administering 100% oxygen
High-Yield Explanation
Ans. is 'd' i.e., Is treated by administrating 100% oxygen Premature infants receiving high concentrations of oxygen may develop retrolental fibroplasias. So generally oxygen tension is kept approximately 90% and not 100%. Treatment of HMO o Neonate should be managed in NICU (neonatal intensive care unit). o Oxygen should be given ? Mild distress --> Without ventilator Moderate distress --> Continuous positive airway pressure (CPAP) Severe distress --> Intermittent mandatory ventilation (IMV) o Intratracheal surfactant therapy is the specific therapy. Its indications are : - i) All neonates less than 28 weeks irrespective of presence or absence of HMD (RDS). ii) Neonates with > 28 weeks with severe respiratory distress. Prenatal : Administration of prenatal glucocoicoids to mother at least 24 hrs prior to delivery in all pregnancies of less than 34 weeks gestation, reduces the risk of HMD.

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