A Newborn Boy Is Undergoing Examination in the Delivery Room

A newborn boy is undergoing examination in the delivery room immediately following birth.  He was born via spontaneous vaginal delivery at 39 weeks gestation to a primigravid 15-year-old adolescent.  Delivery was complicated by meconium-stained amniotic fluid.  The mother received prenatal care and had an uncomplicated pregnancy.  At 5 minutes of life, the patient's heart rate is 120/min and respiratory rate is 50/min.  He is flexing his extremities, and he moves and cries vigorously in response to stimulation.  The patient has cyanosis of the hands, feet, and circumoral area; the remainder of his skin is pink.  Which of the following interventions is indicated during this patient's hospital stay?

A) Chest x-ray
B) Echocardiogram
C) Electrocardiogram
D) Hyperoxia test
E) Pulse oximetry

Correct Answer:

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