A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
a. The nurse should notify the pediatrician stat for this emergency situation.
b. The neonate must have aspirated surfactant.
c. If this baby was born vaginally, it could indicate a pneumothorax.
d. The lungs of a baby delivered by cesarean section may sound moist for 24 hours
after birth.
D
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A This is a common condition for infants delivered by cesarean section.
B Surfactant is produced by the lungs, so aspiration is not a concern.
C It is common to have some fluid left in the lungs; this will be absorbed within a
few hours.
D The condition will resolve itself within a few hours. For this common condition
of newborns, surfactant acts to keep the expanded alveoli partially open between
respirations. In vaginal births, absorption of remaining lung fluid is accelerated
by the process of labor and delivery. Remaining lung fluid will move into
interstitial spaces and be absorbed by the circulatory and lymphatic systems.
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