What is the priority order of actions for a newborn who is unresponsive?

The most appropriate sequence of actions when dealing with an unresponsive newborn starts with checking the airway, followed by trying to stimulate the baby, and if necessary, beginning compressions.

Checking the airway is the first step because maintaining an open airway is crucial for effective breathing and oxygenation. If the airway is obstructed, the newborn cannot breathe, and this condition must be corrected before proceeding with any other resuscitation measures. If the airway is clear, the next step is to try to stimulate the newborn, which may involve gently rubbing the baby's back or flicking the soles of the feet. This stimulation can sometimes elicit a response in an unresponsive newborn, allowing the baby to begin breathing or crying on their own.

If there is no response after the initial steps, this indicates a need for further intervention. Starting compressions may be required if the newborn is not breathing effectively and shows signs of bradycardia or other indicators of cardiac distress.

Other options emphasize different initial actions, but the outlined priority of checking airway first and then trying to stimulate is aligned with standard neonatal resuscitation protocols. These protocols prioritize airway management and responsiveness before moving on to more invasive interventions like compressions or oxygen administration.