Arab Board Pediatrics Final Written

Practice session

A full-term male newborn delivered via emergency cesarean section is apneic and limp. After 30 seconds of initial warming, drying, and tactile stimulation, his heart rate is 70 beats/min. Effective positive-pressure ventilation (PPV) with room air is initiated for 30 seconds, but his heart rate drops to 50 beats/min despite confirmed adequate bilateral chest rise. What is the most appropriate next step in resuscitation?

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