A Newborn Boy Is Undergoing Evaluation Immediately After Birth in the Delivery

A newborn boy is undergoing evaluation immediately after birth in the delivery room.  He was born to a primigravida mother at 38 weeks gestation.  The prenatal course was otherwise uncomplicated, with negative routine infectious serologies and normal anatomic ultrasound.  The amniotic fluid was clear.  The infant cries immediately and is actively moving all 4 extremities.  He is taken to a warmer and dried with blankets.  A minute after delivery, heart rate is 120/min.  He grimaces and cries vigorously during brief manipulation and examination by the provider.  His body is pink but extremities are cyanotic.  Which of the following is the most appropriate next step in the management of this patient?

A) Administer intramuscular vitamin K
B) Attach to cardiac monitor
C) Bathe in sterile solution
D) Place on mother's chest
E) Suction oropharynx and trachea

Correct Answer:

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