A27 year old g2p1 female presents to the emergency department in labor at 41 weeks estimated gestational age. the amniotic sac breaks on admission and has thick, brown-tinted fluid. prior to other steps in resuscitation, the newborn infant should:

a. be resuscitated with a bag-valve mask for 45 to 60 seconds.
b. receive 500,000u penicillin-g intramuscularly.
c. receive 8 mg doxycyline intravenously.
d. have his/her trachea suctioned.
e. be left unswaddled.

Option D

Explanation:

When amniotic sac breaks and its internal fluid spilled then there are high chances that the fluid may enter into the throat of the infant and may block his/her air passage way. Therefore, in such situation a standard solution is formulated which requires the doctors to suction the air passageway of infant and restrict it from getting choked and contaminated with meconium. A valve mask is primarily used before suctioning  

Hence, option D is correct

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explanation: