Procedures in Labor and Birth Practice Test

In what sequence are neonatal resuscitation steps performed?

Stimulation first, then warming and drying, followed by ventilation.

Warming/drying, airway clearance if needed, stimulation, ventilation/oxygenation, assess heart rate, then chest compressions and medications per algorithm.

The sequence mirrors how neonatal resuscitation is prioritized: keep the newborn warm and dry first, then address the airway and breathing, and only then assess circulation to decide if chest compressions are needed. Starting with warming and drying helps prevent cold stress, which can worsen outcomes, and prepares the baby for breathing. Clearing the airway if needed ensures air can move freely, and gentle stimulation can encourage spontaneous respirations.

If the baby isn’t ventilating adequately, begin ventilation/oxygenation promptly. After ventilation has been started, you assess the heart rate to guide the next steps. If the heart rate remains persistently below 60 beats per minute despite about 30 seconds of effective ventilation, you proceed with chest compressions and medications per the resuscitation algorithm. This order minimizes delays in ventilation and oxygen delivery while ensuring circulation support is provided only when truly needed.

Ventilation first, then drying.

Chest compressions before any ventilation.