In the initial care of a full-term newborn with good tone and breathing, besides keeping warm, which step is essential?

• A. Ensure patent airway
• B. Begin feeding immediately
• C. None
• D. Place baby in supine position for imaging

Answer: (A)

The essential step is keeping the airway open. In a newborn, a clear airway is the foundation for effective breathing and circulation; warmth alone won’t overcome an airway obstruction if secretions, mucus, or poor position block airflow. Even with good tone and current breathing, a small infant’s airway can become compromised, so first ensure patency by positioning the head neutrally to open the airway, gently suctioning the mouth and nose if secretions are present, and drying the infant to prevent hypothermia while you verify that breathing remains unimpeded. Feeding right away isn’t necessary or advised in stabilization, and placing the baby for imaging isn’t part of the initial stabilization steps.