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jackryan123 jackryan123
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6 years ago
A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago by cesarean section is found to have moist lung sounds. What is the best interpretation of these data?
 
  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.
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6 years ago
ANS: 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 the circulatory and lymphatic systems. This is a particularly common condition for infants delivered by cesarean section. Surfactant is produced by the lungs, so aspiration is not a concern.
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