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Neonatal resuscitation — DipIMC MCQ

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EasyPaediatric and Obstetric EmergenciesNeonatal resuscitationDipIMC

A term baby is born unexpectedly in a car park. After drying and stimulation, the baby is floppy, blue and not breathing, with heart rate about 80/min. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AOpen the airway and give inflation breaths with air

Option A is correct because Newborn resuscitation prioritises airway positioning and inflation breaths when breathing is absent or inadequate. Option B is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option C is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option E is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option D is less appropriate because delay would increase clinical risk. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: Resuscitation Council UK Newborn Life Support