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Neonatal resuscitation — RACP Paediatrics MCQ

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EasyNeonatalNeonatal resuscitationRACP Paediatrics

A term newborn is delivered and appears floppy with no respiratory effort at 30 seconds despite initial stimulation and drying. Heart rate is 80 bpm. What is the most appropriate next step?

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Correct answer: B — Commence positive pressure ventilation

Per ANZCOR neonatal guidelines, if a newborn is not breathing effectively by 60 seconds despite initial stimulation and the heart rate is <100 bpm, positive pressure ventilation (PPV) should be commenced. Ventilation of the lungs is the single most important step in neonatal resuscitation.

Reference: ANZCOR – 2024 – Guideline 13.4 Airway Management and Ventilation of the Newborn