In a newborn with suspected airway obstruction, what is the first action a nurse should take?

In a newborn with suspected airway obstruction, what is the first action a nurse should take?

• A. Administer oxygen
• B. Suction pharynx first
• C. Place in Trendelenburg
• D. Start IV antibiotics

Answer: (B)

In a newborn with suspected airway obstruction, the immediate goal is to open and clear the airway. Suctioning the pharynx removes secretions or debris that are blocking air entry, quickly restoring ventilation. Oxygen is important, but it cannot reach the lungs effectively if the airway is obstructed, so clearing the airway comes first. Placing the infant in a Trendelenburg position does not help and can worsen breathing, and starting IV antibiotics has no role in an acute obstruction unless an infection is clearly present. After the airway is cleared, assess breathing and provide oxygen as needed, then move to further airway support if ventilation remains impaired.

In a newborn with suspected airway obstruction, the immediate goal is to open and clear the airway. Suctioning the pharynx removes secretions or debris that are blocking air entry, quickly restoring ventilation. Oxygen is important, but it cannot reach the lungs effectively if the airway is obstructed, so clearing the airway comes first. Placing the infant in a Trendelenburg position does not help and can worsen breathing, and starting IV antibiotics has no role in an acute obstruction unless an infection is clearly present. After the airway is cleared, assess breathing and provide oxygen as needed, then move to further airway support if ventilation remains impaired.