Neonatal Nurse Practitioner Practice Exam

What is the primary advantage of orotracheal intubation over nasotracheal intubation during acute neonatal resuscitation?

1. Smaller size endotracheal tube can be used

2. It can be performed without additional equipment

3. Easier tube stabilization

4. Quicker intubation process

The correct answer is: It can be performed without additional equipment

The primary advantage of orotracheal intubation during acute neonatal resuscitation lies in its ability to be performed without the need for additional equipment. This method typically requires less preparation and fewer instruments compared to nasotracheal intubation, allowing for a more rapid response in emergency situations where time is of the essence. In acute resuscitation scenarios, speed and ease of access to the airway can be crucial for the survival and health of the neonate. Orotracheal intubation can generally be conducted with just the endotracheal tube and standard ventilation equipment, simplifying the procedure significantly. While the other choices describe potential advantages of different techniques, they do not outweigh the accessibility and immediacy that orotracheal intubation provides in urgent circumstances. The lack of need for specialized tools makes orotracheal intubation a favored choice during neonatal resuscitation, allowing healthcare providers to quickly establish a secure airway.