During positive pressure ventilation of a premature neonate, if the chest is not rising, which action is appropriate?

In the scenario where chest rise is not observed during positive pressure ventilation of a premature neonate, moving the jaw forward is an appropriate action because it can help to clear the airway. This maneuver, often referred to as the jaw thrust or chin lift, can improve the airway patency, facilitating better ventilation and potentially allowing for improved chest rise.

When a neonate is being ventilated, it’s crucial that the air reaches the lungs efficiently. If the airway is obstructed due to the position of the jaw or other anatomical factors, positive pressure may not effectively inflate the lungs, leading to inadequate ventilation. By moving the jaw forward, you can help relieve any obstructions and ensure a more patent airway, thus optimizing the effectiveness of the ventilation being provided.

While the other options may seem relevant in different contexts, they do not address the immediate need to ensure that the airway is open and effective ventilation is occurring. Adjusting the mask might help with sealing but does not address possible airway obstruction. Slightly extending the head is a common adjustment, but if the jaw is not positioned correctly, it may not resolve the obstruction. Suctioning might sometimes be necessary if there are secretions, but if the cause of poor chest rise is primarily related to the positioning