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You are working the night shift in a 20 bed level III Nicu and carrying the delivery room pager. You are occupied with discharge planning rounds for the following morning when labor and delivery pages you to attend a 26 week gestation delivery. On the walk over to L&D, you discuss the patient's history with the physician. Jody is a 16 year old, and this is her first pregnancy. She has ben in the hospital on bed rest for 5 days for premature rupture of membranes. She denies drinking, smoking, or drug use. She has had no fever and no recent pain. When you arrive at L&D, Jody is about to begin pushing. You review her current status with her nurse. She received a regimen of indomethacin and magnesium sulfate the previous morning, but it didn't stop labor. She received three doses of bethamethasone beginning at admission to the hospital.
-How likely is it that Jody's newborn will have RDS?
-Currently, in what stage of pulmonary development is the fetus?
-What problems may arise from this fetus's current neurological development?
-Do you think Jody's newborn will have surfactant deficiency?
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