The neonatal nurse knows the challenges that face newborns when adapting to their new world. What is one of the first interventions performed during the delivery to ensure a safe transition?
A) Suctioning the neonate's airways
B) Testing the neonate's reflexes
C) Facilitating maternal bonding
D) Assessing for congenital defects
A
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The changes in respiration are the greatest challenge for the newborn. The baby must begin breathing immediately after birth. As soon as the cord is clamped, the infant's lungs become the organs of gas exchange. Excess secretions in the airway can block breathing and, if inhaled, can cause aspiration pneumonia. Immediately after delivery of the baby's head, the birth attendant removes secretions first from the mouth, then the nose with either gloved fingers or with a small, soft-bulb syringe. The other options are also performed in the initial assessment, but are not the initial intervention.
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