A term neonate is born through meconium-stained amniotic fluid. The baby is vigorous at birth with a heart rate of 130 bpm, strong cry, and good tone. What is the recommended management?
- A Routine neonatal care and observation ✓
- B Endotracheal intubation and direct tracheal suction
- C Laryngeal mask airway placement and suction
- D Bag-mask ventilation with PEEP for 1 minute before delivery of shoulders
Correct answer: A. Routine neonatal care and observation
Explanation
Current Neonatal Resuscitation Program guidelines recommend against routine intubation and tracheal suctioning for vigorous neonates born through meconium-stained fluid. A vigorous baby, defined by strong respiratory effort, good muscle tone, and heart rate greater than 100 bpm, requires routine neonatal care and observation only.
Reference: Neonatal Resuscitation Program Textbook, 8th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.