A premature newborn has an apnoeic episode lasting 25 seconds but still has a pulse. What should the nurse do first?
Correct answer: A. Provide gentle tactile stimulation and assess the airway
- A. Provide gentle tactile stimulation and assess the airway
- B. Offer a bottle to stimulate sucking
- C. Place the newborn prone and leave unattended
- D. Start chest compressions immediately
Explanation
The first response to apnoea with a pulse is to assess airway and breathing and provide gentle stimulation. If breathing does not resume, the nurse calls for help and provides ventilation according to neonatal resuscitation guidance; chest compressions are not the first action when a pulse is present.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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