A 2.8 kg preterm newborn (34 weeks) born to an Indian mother with gestational diabetes is delivered by emergency cesarean section for fetal distress. At 1 minute, the infant is pink, crying vigorously, and moving all limbs well. Heart rate is 145 bpm. APGAR score at 1 minute is 9. However, at 5 minutes, the infant becomes increasingly cyanotic despite supplemental oxygen, with grunting and intercostal retractions. Respiratory rate is 68 breaths per minute. What is the most appropriate immediate next step?
See the options, answer & explanation
Sign in free to reveal the answer choices, the correct answer, the detailed explanation, and AI-powered insights for this question.