A27 year old g2p1 female presents to the emergency department in labor at 41 weeks estimated gestational age. the amniotic sac breaks on admission and has thick, brown-tinted fluid. prior to other steps in resuscitation, the newborn infant should:

a. be resuscitated with a bag-valve mask for 45 to 60 seconds.
b. receive 500,000u penicillin-g intramuscularly.
c. receive 8 mg doxycyline intravenously.
d. have his/her trachea suctioned.
e. be left unswaddled.

Option D

Explanation:

When amniotic sac breaks and its internal fluid spilled then there are high chances that the fluid may enter into the throat of the infant and may block his/her air passage way. Therefore, in such situation a standard solution is formulated which requires the doctors to suction the air passageway of infant and restrict it from getting choked and contaminated with meconium. A valve mask is primarily used before suctioning  

Hence, option D is correct

answer; /// i believe that the correct answer is (50%);

correct answer: understand the different control methods available

integrated pest management is an strategy that is based on the ecosystem and try to prevent the pest and the damage caused by them by applying combination of technique like habitat manipulation, biological control and use of resistant varieties.

the main aim of the integrated pest management is not to completely eliminate the pest but to strengthen the ecosystem so that conditions are favorable for plants and unfavorable for pests.