What is the primary problem for a neonate diagnosed with probable meconium aspiration syndrome in the neonatal intensive care unit?

In neonates diagnosed with probable meconium aspiration syndrome (MAS), the primary concern is impaired gas exchange. Meconium aspiration occurs when a newborn inhales a mixture of meconium (the infant's first stool) and amniotic fluid into the lungs during or shortly after delivery. This can lead to inflammation and obstruction in the airways, resulting in reduced lung capacity and impaired gas exchange.

The presence of meconium in the lungs can cause significant respiratory distress, increased work of breathing, and even lead to conditions such as pneumonia or respiratory failure. Therefore, monitoring and managing gas exchange is crucial to ensure the infant receives adequate oxygenation and ventilation.

While other issues such as skin integrity, hyperglycemia, and parent-infant attachment can also be relevant in a neonatal context, they are not the primary concern in the immediate management of a neonate with MAS. The urgency of addressing respiratory issues and ensuring proper oxygenation makes impaired gas exchange the focal problem in this scenario.