What should be done if a neonate with kernicterus is exhibiting opisthotonos?

When a neonate with kernicterus is exhibiting opisthotonos, placing the baby on their side is the appropriate action. Opisthotonos is characterized by severe muscle spasms resulting in a hyperextended posture, which can potentially compromise the airway. By placing the infant on their side, you help ensure that the airway remains open and reduce the risk of aspiration.

Resting in this position can also provide some comfort and prevent further strain on the neck and spine due to the muscle contraction involved in opisthotonos. Maintaining a position that promotes safety and airway protection is a key priority in managing this condition.

Choosing other positions or actions, such as keeping the baby upright or wrapping them tightly, could potentially hinder breathing or create discomfort. Feeding the baby might not be advisable during episodes of opisthotonos, as the risk of aspiration increases, particularly if the infant is not in a safe position for feeding.