A lecithin/sphingomyelin ratio is ordered for a client who is being considered for induced labor. The client is 37 weeks pregnant. The midwife reviews the result of the test and notes that the client’s L/S ratio is 2.5. Based on this finding, the midwife determines that:
  1. The lungs of the fetus are most likely immature.
  2. The fetus is not likely to develop respiratory distress syndrome.
  3. A need for supplemental oxygen at the time of birth is a priority.
  4. A repeat test is necessary within 72 hours.
Explanation
Answer: B - Based on the L/S ratio, the midwife determines that the fetus is not likely to develop respiratory distress syndrome during birth. An L/S ratio greater than 2.2 indicates fetal lung maturity. If the ratio is less than 2.2, the fetal lungs are most likely immature, and if induced labor is continued, supplemental oxygen therapy is a priority intervention at birth.
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