North American Registry of Midwives (NARM) Practice Exam

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Which symptom is associated with pneumonia of the newborn?

  1. Decreased heart rate

  2. Barrel-chested appearance

  3. Rapid weight gain

  4. Cyanosis

The correct answer is: Barrel-chested appearance

A barrel-chested appearance in a newborn is often associated with respiratory issues, including pneumonia. In the case of pneumonia, the inflammation and fluid in the lungs can lead to difficulty breathing and reduced oxygen exchange. Over time, this can affect the shape and size of the chest, contributing to the characteristic barrel-chested appearance in infants with chronic respiratory distress or conditions like pneumonia. This symptom highlights the underlying pathology of pneumonia and reflects the body's response to impaired respiratory function. While other answers might reflect symptoms associated with a variety of health issues, the barrel-chested appearance specifically points to changes in respiratory health and thoracic shape as a result of persistent respiratory difficulty, such as that seen in pneumonia cases.