A newborn has noisy breathing caused by visible secretions obstructing the mouth. What should the nurse do first?
Correct answer: B. Clear the airway gently with appropriate suction
- A. Begin chest compressions immediately
- B. Clear the airway gently with appropriate suction
- C. Give oral fluids to loosen the secretions
- D. Place the newborn flat without repositioning
Explanation
Visible secretions that obstruct breathing should be cleared gently, usually by suctioning the mouth and then the nose when needed. Routine deep suctioning in a breathing newborn is unnecessary and may cause trauma or bradycardia.
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About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
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