A neonate has been taken to the nursery because of a cyanotic event while feeding due to choking. As the baby lies on the warmer bed, he/she is noted to have froth around the mouth. The priority action by the nurse would be to:
1. Assess vital signs.
2. Use suction to remove the secretions.
3. Hold the neonate in an upright position.
4. Feed the neonate.
2
Feedback
1. Vital signs will need to be taken prior to informing the doctor, but is not the priority at this time.
2. Suctioning the secretions to maintain an open airway is the priority at this time.
3. Holding the neonate upright will force secretions down because of gravity and increase the risk for aspiration.
4. Feeding the neonate could increase the risk for aspiration. The child needs an evaluation before feedings are continued.
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