What signs indicate that a newborn might need resuscitation at birth?

A newborn that requires resuscitation at birth typically exhibits signs indicating inadequate respiratory function or overall distress. Cool extremities and a weak cry are critical indicators of potential respiratory compromise or circulatory issues. The presence of cool extremities suggests poor circulation or hypothermia, while a weak cry indicates insufficient respiratory effort, both of which are significant concerns that warrant prompt assessment and intervention.

In contrast, the other scenarios depicted in the choices demonstrate signs of a healthy newborn. Loud crying and pigmentation suggest the infant is transitioning well and responding positively to the external environment. Vigorous movements and alertness signify that the newborn is active and aware, which are good signs of health. Similarly, robust activity and homogenous skin tone further indicate that the baby is stable, showing good perfusion and oxygenation. Therefore, the presence of cool extremities along with a weak cry distinctly marks a newborn at risk and needing resuscitation.