The nurse present at the birth is reporting to the nurse who will be caring for the neonate after birth. Which information should be included for an infant who had thick meconium in the amniotic fluid?
a. The parents spent an hour bonding with the baby after birth.
b. An IV was started immediately after birth to treat dehydration.
c. There was no meconium below the vocal cords when they were visualized.
d. The infant needed vigorous stimulation immediately after birth to initiate crying.
ANS: C
A laryngoscope is inserted to examine the vocal cords. If no meconium is below the cords, probably no meconium is present in the lower air passages, and the infant will not develop meconium aspiration syndrome. Bonding after birth is an expected occurrence. There is no relationship between dehydration and meconium fluid. Vigorous stimulation in the presence of meconium fluid is contraindicated to prevent aspiration.
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