All of the following would be appropriate for treatment of a neonate with Pierre-Robin Syndrome EXCEPT

• A. Place the neonate in a supine position
• B. Surgical correction
• C. Tracheostomy
• D. Place towel rolls under the shoulders and forehead

Answer: (A)

In Pierre-Robin sequence, the main issue is airway obstruction caused by the tongue falling backward (glossoptosis) due to a small mandible. The goal is to keep the airway open through positioning, noninvasive measures, and, if needed, airway interventions.

Placing the neonate in a supine position would worsen airway collapse because gravity pulls the tongue toward the back of the throat, blocking air passage. That’s why this option is not appropriate.

Other approaches aim to relieve the obstruction or secure the airway. Surgical correction can address the underlying jaw size and spacing to improve airflow. If obstruction remains severe, a tracheostomy provides a direct airway bypass. Noninvasive positioning, such as placing towel rolls under the shoulders and forehead, helps maintain a neck and head position that keeps the tongue from occluding the airway and supports easier breathing in the baby.