Upon delivery, meconium staining is observed. What is an indication for suctioning?

Suctioning in the context of meconium staining is indicated particularly when there are concerns about the newborn's ability to clear the airway adequately, especially if there is a risk of meconium aspiration. If a newborn demonstrates a heart rate of 90, it indicates a potential issue with the newborn's respiratory efforts and overall responsiveness. In this case, suctioning may be warranted to help clear the airway, facilitating better breathing and reducing the risk of complications from aspiration.

In contrast, vigorous activity, a good cry, or adequate respirations suggest that the newborn is functioning well and may not require immediate suctioning. Vigorous activity means the baby is likely responding well to stimuli, while a good cry indicates that the airways are clear and normal airflow is present. Adequate respirations also point to a stable condition, implying intervention may not be necessary. The heart rate of 90 indicates a concern, prompting the need for suctioning to ensure the airway is clear and functional.