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Place in room near nurses’ station for maximum observation with a nurse or parent present at all times.
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Suction, oxygen, and resuscitation equipment readily available if needed.
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Observe for apnea or bradycardia; note duration and associated symptoms - color change, change in muscle tone.
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If apnea occurs, use gentle stimulation to start infant breathing again. If ineffective, begin CPR.
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If suctioning is needed, do it gently for the shortest time and least number of times possible to maintain patent airway.
Note:
Repeated, vigor-
ous suctioning is associated with prolonged periods of apnea.