New York State Emergency Medical Technician (EMT) Practice Exam

Thick meconium in the amniotic fluid is indicative of what?

1. An expected finding in full-term infants

2. That full newborn resuscitation will be needed

3. That the baby’s airway may be obstructed

4. That the fetus is at least 4 weeks premature

The correct answer is: That the baby’s airway may be obstructed

Thick meconium in the amniotic fluid is associated with potential respiratory complications for the newborn. When meconium-stained amniotic fluid is thick, there is a risk that the baby could inhale meconium during the process of birth. If this occurs, it can lead to a condition known as meconium aspiration syndrome, where the meconium enters the airways and can obstruct airflow, making it difficult for the infant to breathe effectively. The presence of thick meconium signals the need for cautious monitoring and potential interventions during delivery, as there is an increased likelihood that the baby's airway may become obstructed. The medical team needs to be prepared for resuscitation efforts if the infant shows signs of distress following delivery due to respiratory issues related to meconium aspiration. While the other options present various possible concerns, they do not specifically relate to the immediate implications of thick meconium in the amniotic fluid regarding airway obstruction. Thus, understanding that thick meconium suggests a high risk of airway issues is crucial in preparing for the care of the newborn after delivery.