Question

Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation.

a. Prepare a size 1 laryngoscope and size 3.5-mm endotracheal tube in case intubation is required
b. Decrease the delivery room temperature to approximately 65˚F to 66˚F (18.3˚C to 18.8˚C).
c. Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a skin temperature sensor.
d. Set the oxygen blender to 100% the flowmeter to 15 L/min and the suction to 100 mm Hg.

Answer 1

The appropriate steps to prepare for the birth of a newborn less than 32 weeks gestation include preparing for potential intubation, setting up a preheated radiant warmer, and adjusting respiratory support settings. It is not recommended to decrease the delivery room temperature.

Step-by-step explanation:

To prepare for the birth of a newborn less than 32 weeks gestation, several key steps should be taken:

• Prepare a size 1 laryngoscope and size 3.5-mm endotracheal tube in case intubation is required due to the possibility of respiratory distress and inadequate surfactant production in premature newborns.
• Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a skin temperature sensor to assist with thermoregulation in the newborn, as maintaining a stable body temperature is crucial for a premature infant.
• Set the oxygen blender to the appropriate oxygen concentration (which may not always be 100%) and adjust the flowmeter and suction settings as necessary, based on the clinical assessment of the infant's need for supplemental oxygen and respiratory support.

It is not appropriate to decrease the delivery room temperature as newborns, especially preterm infants, have a high risk of hypothermia and need a warm environment to maintain body temperature.