Final answer:
The next step is to begin positive pressure ventilation.
Step-by-step explanation:
The next step is to begin positive pressure ventilation.
Apnea and cyanosis in a newborn indicate that the baby is not breathing and is not receiving enough oxygen. Clearing the airway and stimulating the baby are initial steps in resuscitation, but if there is no improvement after 30 seconds, positive pressure ventilation is necessary. Positive pressure ventilation involves providing breaths to the baby using a bag and mask or an endotracheal tube to deliver air into the lungs and improve oxygenation.
It is important to address the baby's breathing difficulty promptly to ensure adequate oxygen supply to the brain and other vital organs.