North Carolina EMT State Practice Exam

What is the appropriate position for the airway during neonatal resuscitation?

1. Supine and flat

2. Chin lifted slightly

3. Head tilted forward

4. Side lying

The correct answer is: Chin lifted slightly

During neonatal resuscitation, the appropriate position for the airway is to have the chin lifted slightly. This positioning is crucial because it helps to establish a clear airway by allowing the tongue to move forward and not obstruct the throat. In newborns, the anatomy is different from that of older children and adults, with larger tongues and a more flexible airway, which can lead to obstruction if the head is not positioned correctly. By slightly lifting the chin, you facilitate optimal ventilation and oxygenation during resuscitation efforts. This technique aids in maintaining an open airway, which is vital for effective breathing and emergency responses in neonates. Other positions, such as supine and flat or head tilted forward, may not adequately address the specific airway anatomy and can lead to challenges in ensuring a clear path for air passage. The side-lying position is also not ideal for airway management in a neonate who may need immediate resuscitation. Therefore, slightly lifting the chin remains the best practice for maintaining airway patency in this critical situation.