مولود في دقيقته الأولى لا يتنفس بشكل كافٍ ويرتخي، بعد التجفيف والتحفيز ما زال لا يتنفس، والنبض ٨٠. ما الخطوة التالية؟

A newborn at one minute is not breathing adequately and is floppy; after drying and stimulation he is still apnoeic with HR 80. What is the next step?

1. Wait another minute with more stimulation
2. IM adrenaline before ventilation
3. Chest compressions immediately before any breaths
4. Positive-pressure ventilation with bag and mask

Answer: D) Positive-pressure ventilation with bag and mask. In neonatal resuscitation, apnoea or HR <100 after initial steps calls for positive-pressure ventilation; compressions start if HR stays <60 despite effective ventilation.