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. The best interpretation of these data is:
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
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 circulatory and lymphatic systems.
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