What assessment findings would clue the nurse that the client is experiencing respiratory difficulties?

1. Edwards MO, Kotecha SJ, Kotecha S. Respiratory distress of the term newborn infant. Paediatr Respir Rev. 2013;14(1):29–36 [PubMed] [Google Scholar]

2. Hibbard JU, Wilkins I, Sun L, et al.; Consortium on Safe Labor. Respiratory morbidity in late preterm births. JAMA. 2010;304(4):419–425 [PMC free article] [PubMed] [Google Scholar]

3. Mahoney AD, Jain L. Respiratory disorders in moderately preterm, late preterm, and early term infants. Clin Perinatol. 2013;40(4):665–678 [PubMed] [Google Scholar]

4. Verani JR, McGee L, Schrag SJ. Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention. Prevention of perinatal group B streptococcal disease: revised guidelines from CDC, 2010. MMWR Recomm Rep. 2010;59(RR-10):1–36 [PubMed] [Google Scholar]

5. Carlo WA, McDonald SA, Fanaroff AA, et al.; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Association of antenatal corticosteroids with mortality and neurodevelopmental outcomes among infants born at 22 to 25 weeks’ gestation. JAMA. 2011;306(21):2348–2358 [PMC free article] [PubMed] [Google Scholar]

6. Bahadue FL, Soll R. Early versus delayed selective surfactant treatment for neonatal respiratory distress syndrome. Cochrane Database Syst Rev. 2012;11:CD001456. [PMC free article] [PubMed] [Google Scholar]

7. Gülmezoglu AM, Crowther CA, Middleton P, Heatley E. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev. 2012;6:CD004945. [PMC free article] [PubMed] [Google Scholar]

8. Bhat R, Vidyasagar D. Delivery room management of meconium-stained infant. Clin Perinatol. 2012;39(4):817–831 [PubMed] [Google Scholar]

9. Gouyon JB, Ribakovsky C, Ferdynus C, Quantin C, Sagot P, Gouyon B; Burgundy Perinatal Network. Severe respiratory disorders in term neonates. Paediatr Perinat Epidemiol. 2008;22(1):22–30 [PubMed] [Google Scholar]

10. Williams O, Hutchings G, Hubinont C, Debauche C, Greenough A. Pulmonary effects of prolonged oligohydramnios following mid-trimester rupture of the membranes—antenatal and postnatal management. Neonatology. 2012;101(2):83–90 [PubMed] [Google Scholar]

11. Piper JM, Xenakis EM, Langer O. Delayed appearance of pulmonary maturation markers is associated with poor glucose control in diabetic pregnancies. J Matern Fetal Med. 1998;7(3):148–153 [PubMed] [Google Scholar]

12. Jobe AH. Effects of chorioamnionitis on the fetal lung. Clin Perinatol. 2012;39(3):441–457 [PMC free article] [PubMed] [Google Scholar]

13. Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol. 1998;179(4):884–889 [PubMed] [Google Scholar]

14. Bak SY, Shin YH, Jeon JH, et al. Prognostic factors for treatment outcomes in transient tachypnea of the newborn. Pediatr Int. 2012;54(6):875–880 [PubMed] [Google Scholar]

15. Warren JB, Anderson JM. Newborn respiratory disorders. Pediatr Rev. 2010;31(12):487–495, quiz 496 [PubMed] [Google Scholar]

16. West JB. Respiratory Physiology: The Essentials. Baltimore, MD: Williams & Wilkins; 2012 [Google Scholar]

17. Davis RP, Mychaliska GB. Neonatal pulmonary physiology. Semin Pediatr Surg. 2013;22(4):179–184 [PubMed] [Google Scholar]

18. Wilmott RW, Boat TF, Bush A, Chernick V, Deterding RR. Kendig and Chernick’s Disorders of the Respiratory Tract in Children. Philadelphia, PA: Elsevier Saunders; 2012 [Google Scholar]

19. Magder S. Bench-to-bedside review: ventilatory abnormalities in sepsis. Crit Care. 2009;13(1):202. [PMC free article] [PubMed] [Google Scholar]

20. Weisman LE, Hansen TN. Contemporary Diagnosis and Management of Neonatal Respiratory Diseases. 3rd ed. Newton, PA: Handbooks in Health Care Co.; 2003 [Google Scholar]

21. Bancalari E, Polin RA. The Newborn Lung: Neonatology Questions and Controversies. Philadelphia, PA: Saunders Elsevier; 2008 [Google Scholar]

22. Bhandari A, McGrath-Morrow S. Long-term pulmonary outcomes of patients with bronchopulmonary dysplasia. Semin Perinatol. 2013;37(2):132–137 [PubMed] [Google Scholar]

23. Aly H. Respiratory disorders in the newborn: identification and diagnosis. Pediatr Rev. 2004;25(6):201–208 [PubMed] [Google Scholar]

24. Elias N, O’Brodovich H. Clearance of fluid from airspaces of newborns and infants. Neoreviews. 2006;7:e88 [Google Scholar]

25. Sengupta S, Carrion V, Shelton J, et al. Adverse neonatal outcomes associated with early-term birth. JAMA Pediatr. 2013;167(11):1053–1059 [PubMed] [Google Scholar]

26. Shapiro-Mendoza CK, Tomashek KM, Kotelchuck M, et al. Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk. Pediatrics. 2008;121(2):e223–e232 [PubMed] [Google Scholar]

27. Jain L, Dudell GG. Respiratory transition in infants delivered by cesarean section. Semin Perinatol. 2006;30(5):296–304 [PubMed] [Google Scholar]

28. Campbell JR. Neonatal pneumonia. Semin Respir Infect. 1996;11(3):155–162 [PubMed] [Google Scholar]

29. Stoll BJ, Hansen NI, Sánchez PJ, et al.; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Early onset neonatal sepsis: the burden of group B streptococcal and E. coli disease continues. Pediatrics. 2011;127(5):817–826 [PMC free article] [PubMed] [Google Scholar]

30. Flidel-Rimon O, Shinwell ES. Respiratory distress in the term and near-term infant. Neoreviews. 2005;6:2289–e297 [Google Scholar]

31. Randis TM, Polin RA. Early-onset group B streptococcal sepsis: new recommendations from the Centres for Disease Control and Prevention. Arch Dis Child Fetal Neonatal Ed. 2012;97(4):F291–F294 [PubMed] [Google Scholar]

32. Oh W. Early onset neonatal group B streptococcal sepsis. Am J Perinatol. 2013;30(2):143–147 [PubMed] [Google Scholar]

33. Nissen MD. Congenital and neonatal pneumonia. Paediatr Respir Rev. 2007;8(3):195–203 [PubMed] [Google Scholar]

34. Puopolo KM, Madoff LC, Eichenwald EC. Early-onset group B streptococcal disease in the era of maternal screening. Pediatrics. 2005;115(5):1240–1246 [PubMed] [Google Scholar]

35. Madhi SA, Dangor Z, Heath PT, et al. Considerations for a phase-III trial to evaluate a group B Streptococcus polysaccharide-protein conjugate vaccine in pregnant women for the prevention of early- and late-onset invasive disease in young-infants. Vaccine. 2013;31(suppl 4):D52–D57 [PubMed] [Google Scholar]

36. Dempsey AF, Pyrzanowski J, Donnelly M, et al. Acceptability of a hypothetical group B strep vaccine among pregnant and recently delivered women. Vaccine. 2014;32(21):2463–2468 [PubMed] [Google Scholar]

37. Helve O, Pitkänen OM, Andersson S, O’Brodovich H, Kirjavainen T, Otulakowski G. Low expression of human epithelial sodium channel in airway epithelium of preterm infants with respiratory distress. Pediatrics. 2004;113(5):1267–1272 [PubMed] [Google Scholar]

38. Lista G, Castoldi F. Which clinical markers for appropriate timing of surfactant therapy? Acta Biomed. 2013;84(suppl 1):15–17 [PubMed] [Google Scholar]

39. Hayes EJ, Paul DA, Stahl GE, et al. Effect of antenatal corticosteroids on survival for neonates born at 23 weeks of gestation. Obstet Gynecol. 2008;111(4):921–926 [PubMed] [Google Scholar]

40. Abbasi S, Oxford C, Gerdes J, Sehdev H, Ludmir J. Antenatal corticosteroids prior to 24 weeks’ gestation and neonatal outcome of extremely low birth weight infants. Am J Perinatol. 2010;27(1):61–66 [PubMed] [Google Scholar]

41. Yeh TF. Meconium aspiration syndrome: pathogenesis and current management. Neoreviews. 2010;11:e503–e51 [Google Scholar]

42. Findlay RD, Taeusch HW, Walther FJ. Surfactant replacement therapy for meconium aspiration syndrome. Pediatrics. 1996;97(1):48–52 [PubMed] [Google Scholar]

43. Macfarlane PI, Heaf DP. Pulmonary function in children after neonatal meconium aspiration syndrome. Arch Dis Child. 1988;63(4):368–372 [PMC free article] [PubMed] [Google Scholar]

44. Carson BS, Losey RW, Bowes WA, Jr, Simmons MA. Combined obstetric and pediatric approach to prevent meconium aspiration syndrome. Am J Obstet Gynecol. 1976;126(6):712–715 [PubMed] [Google Scholar]

45. Vain NE, Szyld EG, Prudent LM, Wiswell TE, Aguilar AM, Vivas NI. Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Lancet. 2004;364(9434):597–602 [PubMed] [Google Scholar]

46. Linder N, Aranda JV, Tsur M, et al. Need for endotracheal intubation and suction in meconium-stained neonates. J Pediatr. 1988;112(4):613–615 [PubMed] [Google Scholar]

47. Wiswell TE, Gannon CM, Jacob J, et al. Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics. 2000;105(1, pt 1):1–7 [PubMed] [Google Scholar]

48. Wiswell TE. Handling the meconium-stained infant. Semin Neonatol. 2001;6(3):225–231 [PubMed] [Google Scholar]

49. Fraser WD, Hofmeyr J, Lede R, et al.; Amnioinfusion Trial Group. Amnioinfusion for the prevention of the meconium aspiration syndrome. N Engl J Med. 2005;353(9):909–917 [PubMed] [Google Scholar]

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Noisy Breathing Characteristics in Term Infants