Please read the following vignette and watch the video clip (Fig 1).

A 40–2/7-weeks’ gestation infant is delivered through clear amniotic fluid after an uncomplicated pregnancy. Immediately after birth, the infant is nonvigorous. The infant is warmed, dried, and stimulated, and the airway is opened. At 30 seconds after birth, the infant has no respiratory effort, and the provider begins positive pressure ventilation (PPV). Which of the following are indications for the use of pulse oximetry?

Correct Response

E. Persistent central cyanosis.

PPV is required for more than a few breaths.

Resuscitation is anticipated.

Supplemental oxygen is administered.

An oximeter should be used to confirm the perception of cyanosis, when PPV is required for more than a few breaths, whenever resuscitation is anticipated, and when supplemental oxygen is administered. Immediately after birth, the team must determine whether the infant is breathing or crying and has good tone. In...

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