If a patient in the high-risk unit has a L/S ratio of 2:0, what is the likely outcome?

Prepare for the NCC Maternal Newborn Nursing Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get set for your exam!

A lecithin/sphingomyelin (L/S) ratio of 2:0 indicates that there is a higher concentration of lecithin compared to sphingomyelin in the amniotic fluid, which suggests that the fetal lungs have matured sufficiently. Lecithin is a phospholipid produced by the type II pneumocytes in the lungs, and its presence signifies the production of surfactant necessary for keeping the alveoli open and reducing the surface tension during breathing. A ratio of 2:1 or higher is generally regarded as indicative of adequate fetal lung maturity, supporting the ability to handle breathing after delivery.

In this scenario, the high L/S ratio strongly suggests that the lungs are developed and capable of functioning effectively outside the womb. Consequently, it is likely that delivery would be considered appropriate, given that the fetus is ready to breathe independently. Thus, the outcome for the patient would typically be the decision to proceed with delivery, aligning with the information provided by the L/S ratio assessment.

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