Question

What do you do after warming, drying, and stimulating the newborn patient for 30 seconds?

a. Initiate chest compressions.
b. Assess HR and respiratory effort.
c. Administer oxygen therapy.
d. Begin bag-mask ventilation.

Answer 1

After warming, drying, and stimulating the newborn for 30 seconds, the next step is to assess heart rate and breathing effort to determine if further resuscitation is needed, such as chest compressions or supplemental oxygen.

Step-by-step explanation:

After warming, drying, and stimulating the newborn patient for 30 seconds, the appropriate next step is to assess heart rate (HR) and respiratory effort. If the heart rate is below 60 beats per minute despite adequate ventilation for 30 seconds, or if there are no breaths or the newborn is gasping, this indicates a need for further resuscitation. If breathing or crying begins and the heart rate is greater than 100 beats per minute, continue to monitor the newborn and provide care as needed. If the heart rate is still not above 60 after another 30 seconds, initiate chest compressions. Supplemental oxygen and further measures such as bag-mask ventilation or intubation may also be necessary, depending on the newborn's Apgar score and clinical presentation.