When using a bulb syringe to clear a newborn's airway immediately after birth, the nurse should first suction the mouth and then the nose because:
a. The mouth is cleaner than the nose.
b. Suctioning the mouth often causes gagging.
c. The infant breathes primarily through the nose.
d. Clearing the mouth first decreases the risk of aspiration.
ANS: D
Nasal suctioning can trigger a reflexive inhalation of pharyngeal material, resulting in aspiration of amniotic fluid. Therefore, the mouth should be cleared first.
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