Question

A 27 year old G2P1 female presents to the emergency department in labor at 41 weeks estimated gestational age. The amniotic sac breaks on admission and has thick, brown-tinted fluid. Prior to other steps in resuscitation, the newborn infant should:

A. be resuscitated with a bag-valve mask for 45 to 60 seconds.
B. receive 500,000u penicillin-G intramuscularly.
C. receive 8 mg doxycyline intravenously.
D. have his/her trachea suctioned.
E. be left unswaddled.

Answer 1

Answer:

Option D

Explanation:

When amniotic sac breaks and its internal fluid spilled then there are high chances that the fluid may enter into the throat of the infant and may block his/her air passage way. Therefore, in such situation a standard solution is formulated which requires the doctors to suction the air passageway of infant and restrict it from getting choked and contaminated with meconium. A valve mask is primarily used before suctioning  

Hence, option D is correct