Question

A 33-year-old G2P1 woman delivered a male infant after a precipitous second stage. On initial assessment, the infant has no respiratory effort. You decide to proceed with positive pressure ventilation. Which of the following techniques will impede positive pressure ventilation on this newborn?

A. Adjusting head position to modified flex position
B. Adjusting the head to sniffing position
C. Securing mask for a good seal
D. Compressing the bag just until chest rise is seen
E. Having the oxygen flow at minimum 10 L/minute

Answer 1

Adjusting the head position to a modified flex position or sniffing position, as well as securing the mask for a good seal, will facilitate positive pressure ventilation on this newborn. Compressing the bag just until chest rise is seen and having the oxygen flow at a minimum of 10 L/minute are techniques that can impede positive pressure ventilation.

Step-by-step explanation:

When providing positive pressure ventilation to a newborn, there are factors that can impede the effectiveness of the technique. In this case, adjusting the head position to a modified flex position or sniffing position will actually facilitate positive pressure ventilation by ensuring proper alignment of the airway. Securing the mask for a good seal is also important for effective ventilation. However, compressing the bag just until chest rise is seen and having the oxygen flow at a minimum of 10 L/minute are incorrect techniques that can impede positive pressure ventilation.