Tuesday, March 26, 2013

Question 10

10.  You are called to the delivery of a 40 week gestation male born via vaginal delivery.  The amniotic fluid is meconium stained.  Which of the following is the most important initial intervention?

A.  Dry the baby off, stimulate the baby, and monitor his oxygen saturations.  Give blow by if indicated.

B.  Try not to stimulate the baby, directly visualize the airway for any signs of meconium, aspirate the meconium if needed.

C.  Assist respirations with bag valve mask for 2 minutes.  Ensure the oxygen saturations are over 95%, then examine the airway for signs of meconium and aspirate if needed.

D. Place the baby on high frequency jet ventilation

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