Which statement describes a step not typically part of initial newborn resuscitation?

• A. Supine with neutral head position
• B. Avoid airway seal
• C. Use appropriately sized mask
• D. Ventilate as indicated

Answer: (B)

In initial newborn resuscitation, the priority is establishing an open airway and delivering effective ventilation. Positioning the infant supine with the head in a neutral alignment helps keep the airway open. Using an appropriately sized mask and maintaining a firm seal ensures that breaths go into the lungs rather than escaping around the mask, which is essential for adequate ventilation. Ventilation is provided when the newborn isn’t breathing or isn’t breathing well, with chest rise indicating that air is entering the lungs. The statement about avoiding an airway seal goes against the goal of effective ventilation—good seal and proper mask fit are required, not avoided.