You Have Just Assisted in the Delivery of a 34-Week-Gestation

Multiple Choice

You have just assisted in the delivery of a 34-week-gestation infant in the office of a methadone clinic. After 30 seconds of drying and stimulation, the infant remains limp and cyanotic, with a pulse of 50. Which of the following is the most appropriate action to take at this point?

A) Begin CPR at a rate of 3 compressions to 1 ventilation.
B) Intubate the trachea, ventilate, reassess, and prepare to transport to a NICU.
C) Begin bag-valve-mask ventilations and establish intravenous access.
D) Continue to warm and dry the infant for an additional 30 seconds, while preparing to intubate.