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19 December, 19:40

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.

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Answers (1)
  1. 19 December, 22:58
    0
    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
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