You are working in labor and delivery. Your 32 year-old patient's water broke and it was stained with meconium. When the baby is born, which of the following are PRIORITY interventions for this newborn to prevent meconium aspiration? Select all that apply.

 

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Correct

- Suction immediately after birth, before first breath

- Prep for intubation

- Prep for hemodialysis

- Prepare a dose of RhoGAM

- Visualizing vocal cords prior to eliciting a cry

Rationale

The highest priorities once the infant is born is preventing aspiration of this fluid into the lungs. The way to do this is suction their airway BEFORE the first breath and visualizing the vocal cords prior to eliciting a cry and therefore deep inhale. Dialysis, RhoGam, and intubation would not be appropriate in this situation

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Question Information

NCLEX Category

Management of Care

Question Difficulty
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Correct - 5
Percent Right - 18.5185185185
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Question ID - 368934

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