What are the indications for starting resuscitation in a newborn?

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Starting resuscitation in a newborn is critical in situations where the infant exhibits signs of inadequate respiratory or circulatory function. The correct response highlights specific indicators such as apnea, gasping, and a heart rate below 100 beats per minute.

Apnea, which refers to the cessation of breathing, demands immediate intervention as it can lead to hypoxia and other complications. Gasping is a sign of extreme respiratory distress and indicates that the infant is struggling to maintain adequate oxygenation. A heart rate below 100 beats per minute suggests poor perfusion and possible bradycardia, which can signal the need for prompt resuscitative efforts to stabilize the newborn and ensure proper oxygen delivery to vital organs.

The other listed conditions, while significant to newborn health, do not immediately necessitate resuscitation. Vomiting and a skin rash can indicate various conditions that may need monitoring but do not imply immediate life-threatening situations. Low blood sugar and issues with body temperature regulation can also be serious but typically do not require resuscitation unless they lead to more severe manifestations like apnea or bradycardia. Weakness, lethargy, or poor feeding might indicate underlying issues that need assessment but do not reflect an immediate need for resuscitative measures.

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