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nbme peads4 - usmle_steps
#1
A full-term, 3402-g (7-lb 8-oz) neonate aspirated meconium at delivery. Apgar score is 3 at 1 minute and 3 at 5 minutes. He is intubated and assisted ventilation is established using a respirator. His condition stabilizes for 30 minutes but the arterial blood gas values suddenly deteriorate. Which of the following is the most appropriate first step?

A) Auscultate the chest
B) Check the respirator settings
C) Increase the oxygen flow
D) Recheck the arterial blood gas values
E) Reposition the endotracheal tube

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#2
C....
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#3
c is good
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