Which of the following is an indication for intubation in a newborn?

• A. Meconium-stained fluid, nonvigorous newborn
• B. Full-term infant with no airway issues
• C. Healthy term infant with normal respiration
• D. Lack of crying after birth

Answer: (A)

Meconium-stained fluid in a newborn who is nonvigorous signals a high risk of meconium aspiration and airway obstruction, making securing the airway with endotracheal suctioning urgent. In a nonvigorous baby, clearing the trachea directly helps remove any meconium before it can be drawn deeper into the lungs during the first breaths, which is why this scenario is the clear indication for intubation.

The other options describe babies who are breathing well or showing distress in a way that does not by itself require intubation, so they aren’t indications for putting a tube down the airway.