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Pediatrics · Neonatology
Sample itemWhat is the first action for a newborn who is not breathing effectively after initial drying and stimulation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Begin ventilation support according to neonatal resuscitation protocol
Effective ventilation is the priority for an apnoeic newborn after initial steps because most neonatal bradycardia is secondary to inadequate lung inflation.
Option by option
A. Give oral glucose immediately
Oral feeding is unsafe in an unwell newborn.
B. Perform chest compressions before ventilation
Compressions follow ventilation if severe bradycardia persists.
C. Wait ten minutes for spontaneous recovery
Delay risks hypoxic injury.
D. Begin ventilation support according to neonatal resuscitation protocol (correct)
Correct: ventilation is the key early resuscitation intervention.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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