A client in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At delivery, the nurse finds the infant to have depressed respirations and a heart rate of 80. The nurse anticipates which of the following to occur?
1. Deliver the neonate on its side with head up, to facilitate drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Prepare for the immediate use of positive pressure to expand the lungs.
4. Suction the oropharynx when the newborn's head is delivered.
2
Rationale:
1. The newborn is not delivered on its side.
2. Direct tracheal suctioning by specially trained personnel is recommended for infants who experience absent or depressed respirations, heart rate less than 80 beats per minute, or poor muscle tone.
3. Positive pressure is not used to expand lungs.
4. Intrapartum suctioning after the head of the newborn is delivered is no longer recommended.
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