A 25-year-old female has just given birth to an eight-pound baby boy. Suctioning of the neonate is required. The first action of the nurse midwife when suctioning a neonate immediately after birth is to:
  1. Suction the mouth.
  2. Suction the nose.
  3. Turn the neonate on his side to drain the secretions.
  4. Gently flick the neonate’s soles.
Explanation
Answer: A - After birth, neonates require assistance in clearing their airways of the mucus and amniotic fluids from their lungs. The first action of the nurse is to suction the neonate’s mouth immediately after birth. The nose is suctioned after the mouth. Suctioning the neonate’s nose first may stimulate the receptors in the nose, resulting in aspiration of secretions from the mouth.
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