Which of the following is a sign that would prompt immediate resuscitation with ventilation for a newborn?

• A. Apnea or gasping with poor tone
• B. Mild tachypnea
• C. Strong cry with color
• D. Active movement

Answer: (A)

The key idea is establishing effective breathing at birth. If a newborn is not breathing or only gasping and has very poor muscle tone, that signals the baby isn’t ventilating adequately and needs immediate ventilation to inflate the lungs and improve oxygen delivery. This step is critical to prevent hypoxia and bradycardia.

In contrast, a strong cry with good color and active movement shows the baby is ventilating well and circulating properly, so no immediate resuscitation with ventilation is needed. Mild tachypnea can occur during the transition after birth and doesn’t by itself require ventilation if breathing and tone are adequate.