You Have Just Assisted in the Delivery of a 34-Week-Gestation

question 7

Multiple Choice

You have just assisted in the delivery of a 34-week-gestation infant in the office of a methadone clinic. After 30 seconds of drying and stimulation, the infant remains limp and cyanotic, with a pulse of 50. Which of the following is the most appropriate action to take at this point?

• A) Begin CPR at a rate of 3 compressions to 1 ventilation.
• B) Intubate the trachea, ventilate, reassess, and prepare to transport to a NICU.
• C) Begin bag-valve-mask ventilations and establish intravenous access.
• D) Continue to warm and dry the infant for an additional 30 seconds, while preparing to intubate.

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Definitions:

Moro Reflex

is an involuntary response or startle reflex in newborns, which is triggered by a sudden loss of support or a loud sound, causing the baby to fling arms outwards and then retract them.

Evolutionary Stages

The phases of adaptation and change that species go through over generations in response to environmental demands.

Odors

The qualities of substances perceived by the sense of smell, often playing significant roles in human behavior, preference, and memory.

Vocalizations

The sounds produced by creatures, especially humans, as a form of communication or expression.