Which statement best explains why newborns who are delivered by cesarean birth are at greater risk for respiratory complications than newborns delivered vaginally?
a. In most cases, newborns delivered by cesarean are already in fetal distress before birth.
b. A newborn delivered by cesarean does not have the compressions of the birth canal on the chest, which forces fluid from the lungs.
c. Without going through the normal birth process, the newborn delivered by cesarean does not produce surfactant.
d. Newborns delivered by cesarean do not develop the temporary hypoxia that normally stimulates respirations.
ANS: B
The chest compressions that occur during a vaginal delivery help express fluid from the lungs. A neonate delivered by cesarean birth does not experience this compression and therefore is more likely to have excess fluid in the lungs after delivery.
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