A newborn is delivered at 40 weeks gestation with meconium-stained amniotic fluid. Which of the following interventions should the healthcare team prioritize to prevent complications associated with meconium aspiration syndrome (MAS)?
Select all that apply.
A. Immediate suctioning of the mouth and nose before the first breath
B. Intubation and tracheal suctioning for a non-vigorous infant
C. Stimulating the infant to encourage crying
D. Placing the infant on continuous positive airway pressure (CPAP)
E. Monitoring for respiratory distress signs
______________
Answer:A. Immediate suctioning of the mouth and nose before the first breath - Incorrect. Current guidelines no longer recommend routine suctioning of the mouth and nose before the first breath for infants born through meconium-stained amniotic fluid.
B. Intubation and tracheal suctioning for a non-vigorous infant - Correct. If the infant is non-vigorous (e.g., poor tone, weak cry, or low heart rate), intubation and tracheal suctioning may be needed to clear meconium from the airway to prevent aspiration.
C. Stimulating the infant to encourage crying - Incorrect. While stimulation can be part of routine newborn care, excessive stimulation should be avoided until it is clear that the infant does not require resuscitative measures due to meconium aspiration.
D. Placing the infant on continuous positive airway pressure (CPAP) - Incorrect. CPAP is not routinely indicated immediately for all infants born through meconium-stained amniotic fluid unless they show signs of respiratory distress and require respiratory support.
E. Monitoring for respiratory distress signs - Correct. Monitoring the newborn closely for signs of respiratory distress, such as grunting, nasal flaring, or retractions, is essential as these could indicate complications related to meconium aspiration.
Correct answers: B. Intubation and tracheal suctioning for a non-vigorous infant, E. Monitoring for respiratory distress signs
📌Yeni Nclex-RN Eylül Kursu Programı % 20 İndirimli kayıt imkanı… Son 3 kontenjan kalmıştır…
📌Nclex Kurs Canlı Zoom Dersleri günleri; 03-04-05-17-18-19 Eylül 2024
📌%20 indirimli kayıt Kodu: NCLEX2
📌İndirim kodu sadece sitemize üye olan üyelerimiz için geçerlidir. Üyelik ücretsizdir.
📌 Registration Link;
Comments