A newborn has been successfully ventilated and has a heart rate above 100 bpm with improving skin color. What is the NEXT appropriate step in the neonatal resuscitation protocol?
Administer 100% oxygen via bag and mask
Administer 10 mL/kg of normal saline intravenously
After establishing an effective airway and adequate ventilation, and confirming a stable heart rate of over 100 bpm along with improved skin coloration, the appropriate next step is to monitor the baby and maintain temperature control. This step is vital as newborns are prone to hypothermia, which can complicate recovery. Immediate, aggressive interventions like administering intravenous fluids or supplemental oxygen might not be necessary with the stabilization of vital parameters and can in fact complicate the clinical scenario if not indicated.
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BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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