A newborn is unresponsive with no respiratory effort after birth. According to Newborn Life Support, what is the first step after drying and stimulating?
Answer and explanation
Correct answer: C. Open the airway and give five inflation breaths
- Step 1: Neonatal arrests are mainly respiratory.
- Step 2: Resuscitation Council UK NLS gives five inflation breaths first and compressions only if the heart rate stays below 60.
Answer
Open the airway and give five inflation breaths.
Why not the others: Give IV adrenaline straight away through an umbilical venous line: Adrenaline is a late step. Start chest compressions immediately using a 3:1 ratio before any breaths are given: Compressions follow adequate ventilation. Place the baby on oxygen and observe for ten minutes before acting: Observation delays ventilation.
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