A term neonate delivered by emergency cesarean section for fetal distress is apneic, limp, and has a heart rate of 50 bpm at birth. What is the FIRST step in neonatal resuscitation after cord clamping and warming?
- A Clear the airway and stimulate the baby ✓
- B Administer 100% oxygen via face mask
- C Initiate cardiac compressions immediately
- D Intubate and ventilate with bag-mask
Correct answer: A. Clear the airway and stimulate the baby
Explanation
According to NRP (Neonatal Resuscitation Program) guidelines, after drying and warming, the first step is to open the airway (position and suction if needed) and provide tactile stimulation. Positive-pressure ventilation is initiated if the infant remains apneic or gasping or has HR <100 bpm after initial steps. Cardiac compressions are reserved for HR <60 bpm despite 30 seconds of effective PPV.
Reference: Ghai Essential Pediatrics, 10th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.