Afghanistan Specialization Entry Exam

Practice session

A male infant is born at 39 weeks of gestation via spontaneous vaginal delivery with thick meconium-stained amniotic fluid. At birth, he is limp, apneic, and cyanotic with a heart rate of 70 beats per minute. Immediate drying, warming, clearing of the airway, and tactile stimulation fail to elicit spontaneous respirations. According to the Neonatal Resuscitation Program (NRP) guidelines, what is the immediate next step in management?

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