Question

You have just delivered a newborn who was initially apneic and cyanotic. After suctioning, drying, warming, and stimulating the infant and administering blow-by oxygen, you find that the infant has a respiratory rate of 35 with signs of respiratory distress, a weak brachial pulse of 70, and continuing central cyanosis. Which of the following should you do next?
A) Start an IV using the umbilical vein and administer a 20 mL/kg fluid bolus.
B) Begin chest compressions at a rate of 120 per minute and reevaluate after 1 minute.
C) Perform ventilations with a bag-valve-mask device and supplemental oxygen.
D) Intubate and instill 0.04 mg of epinephrine diluted in saline into the tube.

Answer 1

Answer: D

Explanation: