What is the recommended first step in the assessment of a newborn's respiratory status?

The recommended first step in assessing a newborn's respiratory status is to evaluate the airway and ensure it is clear. This is critical because the airway is the pathway through which the newborn breathes, and any obstruction can lead to inadequate oxygenation and ventilation. Ensuring that the airway is patent allows for proper assessment of the newborn's breathing efforts and overall respiratory function.

If the airway is obstructed, no further assessment or intervention would be effective, as the newborn may be unable to breathe properly. This step sets the foundation for any subsequent steps in the assessment and management of the newborn's respiratory status.

Initiating resuscitation procedures may be necessary based on the assessment findings, but it should only follow the initial evaluation of the airway. Likewise, while checking for skin color and temperature or measuring oxygen saturation are important components of a full assessment, they come after ensuring that the airway is clear. Proper prioritization of these assessment steps is essential for effective neonatal care and intervention.