Question

A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation because she is not breathing. You are unable to achieve a seal with bag and mask. Which intervention is indicated

Answer 1

When a baby with cleft lip and palate and a small mandible cannot breathe on their own and a seal cannot be achieved with a bag and mask, the indicated intervention is to place the baby on a ventilator to mechanically assist with breathing.

Step-by-step explanation:

A baby born at term with a bilateral cleft lip and palate and a very small mandible requires positive-pressure ventilation because they are not breathing. If a seal cannot be achieved with a bag and mask, the indicated intervention would be to place the baby on a ventilator to mechanically assist with the breathing process.

Answer 2

When ventilation can't be achieved with a bag and mask, the intervention that should be done is using a laryngeal mask airway. It is a medical device that keeps the airway of the patient open and allows for effective ventilation using a bag.