An infant was born at 34 weeks' gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids
The apnea monitor sounds, and the nurse checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to: 1. Administer oxygen.
2. Perform back blows and chest thrusts.
3. Call a code.
4. Stroke the infant's back.
4
Rationale 1: If the infant is not breathing, oxygen will not help.
Rationale 2: This is intervention for choking, not apnea.
Rationale 3: A code is not the initial response. If the nurse is unable to restart breathing, then a code should be initiated.
Rationale 4: Tactile stimulation is often sufficient to restart the infant's respirations. Apnea of prematurity is due to immaturity of the respiratory center.
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