Grunting in Pediatrics — Case | Pediatric Respiratory | SMLE Q#11964
SMLE Question #11964
Pediatrics
Pediatric Respiratory
Objective: OBJ-273
Last updated: February 2026
A term male neonate is born by spontaneous vaginal delivery after uncomplicated labour. Thick meconium is noted at delivery. At 40 minutes of life, he has worsening respiratory distress with grunting, marked subcostal retractions, and cyanosis. Chest exam shows poor bilateral air entry with coarse crackles. What is the most appropriate next step in management?
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