Following delivery of a baby who was born at 38 weeks, you note the presence of thick particulate meconium in the amniotic fluid. The newborn has a strong cry, a heart rate of 120 beats/min, good muscle tone, and central cyanosis. You should:
A: avoid drying or stimulating the newborn and perform immediate tracheal suctioning with an ET tube.
B: begin immediate positive-pressure ventilation as your partner prepares to intubate the newborn's trachea.
C: give blow-by oxygen to the newborn as you are visualizing its vocal cords to assess for meconium in the airway.
D: ensure the newborn is warm and dry, suction its mouth and nose, and administer blow-by oxygen.
Answer: D: ensure the newborn is warm and dry, suction its mouth and nose, and administer blow-by oxygen.
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