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Meconium-Stained Neonate — RACP Paediatrics MCQ

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ModerateRespiratoryMeconium-Stained NeonateRACP Paediatrics

A newborn presents with meconium-stained amniotic fluid. He is vigorous at birth (crying, good muscle tone). What is the current recommendation regarding endotracheal suctioning?

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Correct answer: E — No routine endotracheal suctioning in vigorous neonates

Current neonatal resuscitation guidelines recommend against routine endotracheal suctioning of vigorous meconium-stained neonates. Standard neonatal resuscitation with assessment and intervention as needed is recommended. Intubation and tracheal suctioning may be considered only for non-vigorous neonates.

Reference: Australian Resuscitation Council – 2025 – Neonatal Resuscitation Guidelines