A newborn has just been delivered limp and apneic. What is the first action you should take?

When a newborn is delivered limp and apneic, the primary concern is to provide immediate stimulation and support to initiate breathing and improve oxygenation. The best initial action in this scenario is to dry the baby and assess their airway.

Drying the newborn is crucial because it helps in thermoregulation, preventing hypothermia. This is especially important since newborns can lose heat rapidly. By drying the baby, you stimulate them as well, which may help to initiate breathing.

Suctioning the airway may be necessary if there are obvious obstructions causing the apneic state; however, suctioning should not be the first action without first drying the newborn. The assessment of the airway is essential, as suctioning could potentially disrupt the baby's transition if done before ensuring they are stimulated and warmed.

Overall, this approach prioritizes both the immediate need for the baby to begin breathing and the importance of maintaining body temperature, making it the most appropriate first step in the management of a limp and apneic newborn.