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paraphrase and turn into one sentence: By week 20, the fetus has lanugo (fine, soft hair), which provides an anchorage for vernix caseosa (a waxy substance protecting the skin from the amniotic fluid). By week 36, the lanugo has usually been shed and replaced by vellus hair (short, thin, slightly coloured, but barely noticeable hair of longer standing duration). Hair on the head and eyebrows are present. The eyes are structurally complete; the ears are in position; and the skin appears less transparent (London et al 2014). At approximately weeks 22-23, surfactant – which reduces surface tension in the lungs, thereby keeping the alveolae open – starts to be produced in the lungs. The most common lung condition in premature infants is respiratory distress syndrome, which is caused by the lungs not producing adequate amounts of surfactant as a result of immaturity

 
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