Paeds Vivas · fetal-neonatal-and-perinatal
Transient tachypnoea of the newborn — viva
Branching clinical structured oral on the assessment and stepwise management of a tachypnoeic term neonate after elective caesarean.
On this page
Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
A 2-hour-old term male infant, born by elective caesarean at 38 weeks without labour, is grunting with a respiratory rate of 88/min and SpO₂ 92% in room air. You are asked to assess and manage him on the postnatal ward.
Opening (2 minutes)
The candidate should recognise early neonatal respiratory distress in a term infant delivered by elective caesarean without labour and generate transient tachypnoea of the newborn as the leading diagnosis while committing to exclude alternatives. [3]
References3ShowHide
- [1]Niu Y, Han D, Kou C Diagnostic accuracy of lung ultrasound for transient tachypnea of the newborn: a meta-analysis. Front Pediatr, 2026.PMID 42422445
- [2]Süvari L, Janér C, Helve O Postnatal gene expression of airway epithelial sodium transporters associated with birth stress in humans. Pediatr Pulmonol, 2019.PMID 30920175
- [3]Atasay B, Ergun H, Okulu E The association between cord hormones and transient tachypnea of newborn in late preterm and term neonates who were delivered by cesarean section. J Matern Fetal Neonatal Med, 2013.PMID 23311764