A newborn remains apnoeic after drying, stimulation, and repositioning. The heart rate is 80 beats/minute. What is the priority nursing action?
Correct answer: A. Begin positive-pressure ventilation with a bag and mask
- A. Begin positive-pressure ventilation with a bag and mask
- B. Start chest compressions before giving any ventilation
- C. Give oral glucose and reassess after five minutes
- D. Place the newborn skin to skin and observe closely
Explanation
Apnoea with a heart rate below 100 beats/minute requires effective positive-pressure ventilation. Ventilation is prioritised because inadequate breathing is the immediate cause of poor oxygenation; compressions are considered only if the heart rate remains very low after effective ventilation.
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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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