Florida State Paramedic Practice Exam

Why is suctioning performed mouth first then nose in newborns?

1. Newborns breathe through their mouths

2. It prevents blockage of the nasal passages

3. Newborns are more prone to oral injuries

4. Children primarily breathe through their noses

The correct answer is: Children primarily breathe through their noses

Suctioning mouth first and then nose in newborns is primarily performed because newborns are obligate nasal breathers, meaning they breathe predominantly through their noses. However, when they are in distress or experiencing respiratory issues, suctioning the mouth first allows for the removal of any secretions or obstructions that could further compromise their airway. Clearing the mouth helps ensure that they can establish a clear respiratory pathway. After the mouth has been suctioned, addressing the nose ensures that the nasal passages are clear, which is vital since they rely on their ability to breathe through the nose. This sequential approach allows for effective airway management and promotes better oxygenation by ensuring that both airway routes are clear. It’s essential to follow this procedure in the correct order to reduce the risk of inadvertently blocking airflow and to enhance the newborn's ability to breathe properly during stressful situations.