No Maternal Diabetes Or in Pediatrics — Case | Pediatric Respiratory | SMLE Q#11072

SMLE Question #11072

Pediatrics Pediatric Respiratory

Objective: OBJ-273

Last updated: February 2026
A term male newborn is delivered at 38 weeks’ gestation by elective cesarean section without labor to a 27-year-old G1P1 woman. Pregnancy was uncomplicated with no maternal diabetes or fever. Apgar scores are 8 and 9 at 1 and 5 minutes. At 1 hour of life, he develops tachypnea with mild subcostal retractions, nasal flaring, and intermittent grunting. Lung examination shows clear breath sounds bilaterally without crackles or wheeze. What is the most likely diagnosis?

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