While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?
A) Alert the physician stat and turn the newborn to her right side.
B) Administer oxygen via facial mask by positive pressure.
C) Lower the newborn's head to stimulate crying.
D) Aspirate the oral and nasal pharynx with a bulb syringe.
D
Response:
The nurse's first action would be to suction the oral and nasal pharynx with a bulb syringe to maintain airway patency. Turning the newborn to her right side will not alleviate the blockage due to secretions. Administering oxygen via positive pressure is not indicated at this time. Lowering the newborn's head would be inappropriate.
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