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Multiple Choice
Why is the first breath of air particularly difficult for a neonate to take?
A
The lungs are filled with amniotic fluid that must be expelled.
B
The alveoli are collapsed and require significant pressure to open.
C
The trachea is initially blocked by mucus.
D
The diaphragm is not yet fully developed in neonates.
Verified step by step guidance
1
Understand the anatomy of the neonate's respiratory system: At birth, a neonate's lungs are filled with amniotic fluid, and the alveoli are collapsed. The first breath requires the neonate to expel this fluid and inflate the alveoli.
Recognize the role of alveoli in breathing: Alveoli are tiny air sacs in the lungs where gas exchange occurs. For effective breathing, these sacs must be open and filled with air.
Identify the pressure needed to open alveoli: The first breath requires significant pressure to overcome the surface tension and open the collapsed alveoli, allowing air to fill the lungs.
Consider the role of surfactant: Surfactant is a substance that reduces surface tension in the alveoli, making it easier for them to expand. In neonates, surfactant production may be insufficient, contributing to the difficulty of the first breath.
Evaluate other factors: While the diaphragm and mucus can play roles in breathing, the primary challenge for neonates is the pressure needed to open the collapsed alveoli.