Your assessment of a newborn shows cyanosis in the hands and feet. What should you do next?

Cyanosis in the hands and feet of a newborn often indicates that the infant is experiencing peripheral cyanosis, which is commonly seen in newborns due to their immature circulatory system. This condition can be a normal physiological response, particularly if the central part of the body (like lips and trunk) appears pink. In such cases, it’s crucial to maintain the newborn's body temperature and provide warmth to promote better circulation and oxygenation.

Keeping the newborn warm is essential in preventing hypothermia, which can exacerbate the situation. Transporting the infant in a warm environment also ensures that they are monitored for any potential changes in their condition. This approach allows healthcare providers to assess whether the cyanosis is merely transitional or indicative of a more serious issue that needs further evaluation.

In contrast, providing high-flow oxygen without a clear indication of respiratory distress or lack of oxygenation in the central areas may not be warranted and could lead to unnecessary interventions. Massaging the lower part of the mother's uterus is unrelated to the care for the newborn and focuses instead on maternal care. Regular reassessment of the newborn is important; however, prioritizing warmth and stabilization is a necessary immediate action.