Which of the following describes the correct initial action when the amniotic sac remains intact around the newborn’s head?

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Multiple Choice

Which of the following describes the correct initial action when the amniotic sac remains intact around the newborn’s head?

When the amniotic sac is still around the baby’s head, the airway isn’t yet exposed, so the immediate action is to gently tear the sac to free the face. This exposes the mouth and nose so you can clear secretions and assess breathing, allowing the newborn to begin breathing air. Sucking through an intact sac won’t help, and waiting for the sac to rupture on its own can delay ventilation and oxygenation. Tear the sac with a careful, gentle motion to minimize tissue injury, then proceed with airway clearance and further resuscitation steps as needed.

When the amniotic sac is still around the baby’s head, the airway isn’t yet exposed, so the immediate action is to gently tear the sac to free the face. This exposes the mouth and nose so you can clear secretions and assess breathing, allowing the newborn to begin breathing air. Sucking through an intact sac won’t help, and waiting for the sac to rupture on its own can delay ventilation and oxygenation. Tear the sac with a careful, gentle motion to minimize tissue injury, then proceed with airway clearance and further resuscitation steps as needed.

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