What is the best initial device to clear a newborn's airway?

• A. DeLee suction trap device
• B. bulb suction device
• C. inline suction catheter
• D. endotracheal tube

Answer: (B)

Clear the airway first with a noninvasive, quick method to remove secretions from the mouth and nose. A bulb suction device is ideal because it allows rapid, gentle suctioning of the oral and nasal cavities without inserting any instrumentation into the airway. This rapid clearance helps improve gas exchange and prepares the newborn for any subsequent steps, such as bag-mask ventilation if needed.

The other devices are more invasive or situational. The DeLee suction trap is a more specialized suction setup used in certain airway management scenarios and isn’t as immediate or simple for initial clearance. An inline suction catheter requires an airway device in place (like an endotracheal tube) and is used during mechanical ventilation or deeper suctioning. An endotracheal tube is a definitive airway for ventilation, not a first-line tool to clear secretions.