A Newborn Girl Is Evaluated in the Nursery for Respiratory

question 436

Multiple Choice

A newborn girl is evaluated in the nursery for respiratory distress.  Approximately 30 minutes after the patient was born, she developed sudden-onset tachypnea and hypoxia for which she is receiving supplemental oxygen by nasal cannula.  The infant was born to a 35-year-old woman at 39 weeks gestation via a scheduled cesarean delivery for breech presentation.  Membranes ruptured at delivery, revealing clear amniotic fluid.  The mother had insulin-controlled gestational diabetes mellitus and tested positive for Group B Streptococcus at 36 weeks gestation.  Apgar scores were 7 and 8 at 1 and 5 minutes, respectively.  Temperature is 36.7 C (98 F) .  Examination shows tachypnea, grunting, nasal flaring, and subcostal and intercostal retractions.  Cardiac examination reveals tachycardia without murmurs.  Femoral pulses are 2+.  Chest x-ray reveals a flattened diaphragm, mild cardiomegaly, and a prominent horizontal fissure on the right side.  Which of the following is the most likely outcome of this patient?

• A)Permanent neurocognitive impairment despite therapy
• B)Persistent asthma-like symptoms and steroid dependence
• C)Progressive pulmonary hypertension and heart failure
• D)Recurrent pulmonary infection and failure to thrive
• E)Spontaneous resolution with no long-term effect

Comprehend the phenomenon of the tip-of-the-tongue state and its implications for memory recall.

Appreciate the role of emotional impact in the creation and recall of memories.

Distinguish between different types of memory recall tasks (e.g., recognition vs. recall).

Understand the process of memory retrieval from long-term storage and the role of different brain areas in this process.

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Definitions:

Government

The governing body of a nation, state, or community responsible for leadership, policy making, and administration.

Ethanol Program

A governmental policy initiative aimed at promoting the use of ethanol as a biofuel, to reduce dependency on fossil fuels and decrease greenhouse gas emissions.

Imported Ethanol

Ethanol fuel sourced from foreign countries, used primarily as a biofuel additive for gasoline.

Subsidies

Financial assistance granted by a government to support businesses or individuals, aiming to reduce costs and encourage certain economic activities.