When performing neonatal resuscitation, which action should be done first?
a. Gently slap the soles of the infant's feet.
b. Place the infant on a warmer and extend the neck slightly.
c. Suction the infant with a bulb syringe or mechanical suction.
d. Administer mask and bag ventilations at a rate of 40 to 60 breaths per minute.
B
When performing neonatal resuscitation the nurse should first place the infant on a warmer and extend the neck slightly. This is the appropriate first nursing action, as hypothermia can cause respiratory distress in the neonate. Slapping the soles of the feet may injure the neonate and does not address the priority of thermoregulation. Suctioning the infant with a bulb syringe or mechanical suction is done if meconium is present at birth and the baby is not vigorous at birth. Administering mask and bag ventilations at a rate of 40 to 60 breaths per minute is not appropriate unless the neonate is not breathing, but still should be performed after placing the neonate on a radiant warmer.
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