North American Registry of Midwives (NARM) Practice Exam

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Which of the following is a symptom of transient tachypnea of the newborn?

Barrel-chested appearance
Hypothermia
Nasal flaring
Cyanosis

The correct answer is: Nasal flaring

Transient tachypnea of the newborn (TTN) is a condition commonly seen in newborns, particularly those who are delivered via cesarean section or are late preterm. One of the hallmark symptoms of TTN is nasal flaring, which occurs as the baby attempts to increase airflow and improve oxygenation due to mild respiratory distress. This is a physiological response indicative of the body’s effort to compensate for the increased work of breathing often associated with TTN. The other symptoms listed, such as barrel-chested appearance, hypothermia, and cyanosis, are not typically associated with TTN. A barrel-chested appearance may suggest other respiratory issues, hypothermia relates to temperature regulation problems, and cyanosis indicates a more severe oxygen deprivation, which is not characteristic of transient tachypnea. Understanding the specific symptomatology of conditions like TTN is crucial for proper diagnosis and management in newborns.