You are in the delivery room caring for a preterm

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You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120 beats per minute and the oxygen saturation is 90% in room air. The baby's respirations are labored. Which of the following is an appropriate action?

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Answer: The appropriate way is to Administer 5 to 6 cm H2O (water) to the Nasalcontinuous positive airway pressure.

Explanation: Nasal continuous positive airway pressure (NCPAP) NCPAP is a mild and effective therapy for relieving respiratory distress in neonates and is carried out by administering positive pressure to the airways of spontaneously breathing neonates to

establish and maintain lung inflation

reduce the need for supplementary oxygen and to reduce the respiratory rate, work of breathing and other signs of respiratory distress in especially preterm babies.

It is necessary for experienced hands to be in charge of this procedure because they have clear knowledge of indications and contraindications for using NCPAP and the expected outcome of babies treated with the procedure.


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