In fetal life, blood flow is crucial for the development and growth of the fetus. However, blood flow to the lungs is very low in the fetus (~12% of combined ventricular output). What are the main reasons for the low blood flow?单项选择题

题目图片
A

a. Cardiac output in the fetus is much lower than the adult resulting in reduced pulmonary blood flow

B

b. Low oxygen and high levels of lung liquid increase pulmonary vascular resistance

C

c. High blood pressure in the systemic circulation results in a pressure gradient which reduces blood flow to the lungs

D

d. Low levels of vasoactive substances within the lungs increase pulmonary vascular resistance

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