A nurse is caring for a 40 weeks' gestation neonate. The neonate is 12 hours post-birth and has been admitted to the NICU for meconium aspiration
The nurse recalls that the following are potential complications related to meconium aspiration (select all that apply):
a. Obstructed airway
b. Hyperinflation of the alveoli
c. Hypoinflation of the alveoli
d. Decreased surfactant proteins
ANS: a, b, d
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a. The presence of meconium in the neonate's lungs can cause a partial obstruction of the lower airway that leads to a trapping of air and a hyperinflation of the alveoli.
b. The presence of meconium in the neonate's lungs can cause a partial obstruction of the lower airway that leads to a trapping of air and a hyperinflation of the alveoli.
c. The presence of meconium in the neonate's lungs can cause a partial obstruction of the lower airway that leads to a trapping of air and a hyperinflation of the alveoli.
d. The presence of meconium in the lungs can also cause a chemical pneumonitis and inhibit surfactant production.
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