Intrapartum care: meconium: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Intrapartum care: meconium

Sample item

What is the principal neonatal concern when thick meconium is present in amniotic fluid?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Meconium aspiration causing respiratory compromise

Meconium-stained fluid can be associated with fetal stress and, if aspirated, can cause airway obstruction and chemical pneumonitis. Neonatal staff should be prepared based on the infant's condition at birth.

Option by option

  • A. Pyloric stenosis

    Pyloric stenosis presents weeks after birth.

  • B. Meconium aspiration causing respiratory compromise (correct)

    Correct. Aspirated meconium can produce serious neonatal respiratory disease.

  • C. Neural tube defect

    Neural tube defects develop in early embryogenesis.

  • D. Congenital hypothyroidism

    Hypothyroidism is unrelated to meconium.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Meconium aspiration causing respiratory compromise. Meconium-stained fluid can be associated with fetal stress and, if aspirated, can cause airway obstruction and chemical pneumonitis.

Why is "Pyloric stenosis" not the answer?

Pyloric stenosis presents weeks after birth.

Why is "Neural tube defect" not the answer?

Neural tube defects develop in early embryogenesis.

Why is "Congenital hypothyroidism" not the answer?

Hypothyroidism is unrelated to meconium.

What concept does this question test?

It tests Intrapartum care: meconium in OBG. Neonatal staff should be prepared based on the infant's condition at birth.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Intrapartum care: meconium?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.