If the baby is not improving as expected or there is no chest rise with PPV, which action is part of ventilation corrective steps?

If the baby is not improving as expected or there is no chest rise with PPV, which action is part of ventilation corrective steps?

• A. Mask adjustment
• B. Admit to NICU
• C. Place in prone position
• D. Administer surfactant

Answer: (A)

When PPV isn’t producing chest rise or the baby isn’t improving, the issue is almost always with how air is being delivered rather than with the baby itself. The best corrective action is to improve the mask seal and airway alignment. Choose the right size mask, place it to seal over the nose and mouth without leaks, and use a two-person technique if needed to maintain a tight seal while you squeeze the bag. Ensure the head is in a neutral position to keep the airway open, and clear any secretions if present. If chest rise still isn’t achieved after a good seal and repositioning, consider airway adjuncts or brief intubation as trained. Admitting to NICU or administering surfactant, or placing the baby in a prone position, are not immediate ventilation corrective steps during resuscitation.

When PPV isn’t producing chest rise or the baby isn’t improving, the issue is almost always with how air is being delivered rather than with the baby itself. The best corrective action is to improve the mask seal and airway alignment. Choose the right size mask, place it to seal over the nose and mouth without leaks, and use a two-person technique if needed to maintain a tight seal while you squeeze the bag. Ensure the head is in a neutral position to keep the airway open, and clear any secretions if present. If chest rise still isn’t achieved after a good seal and repositioning, consider airway adjuncts or brief intubation as trained. Admitting to NICU or administering surfactant, or placing the baby in a prone position, are not immediate ventilation corrective steps during resuscitation.