While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?
a. Risk for infection related to release of meconium
b. Risk for injury related to high-risk birth interventions, such as amino infusion
c. Risk for aspiration related to retained secretions
d. Risk for thermoregulation because of high-risk labor status
ANS: C
Because the fetus has already passed meconium in utero, the labor and birth take on a high-risk management perspective. The likelihood that the infant will develop meconium aspiration syndrome (MAS) is increased, so airway abnormalities take precedence in terms of nursing diagnosis and medical management.
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