What should a healthcare provider do if the APGAR score is between 0-3?

When the APGAR score is between 0-3, it indicates a significant level of distress and potential respiratory or cardiovascular failure in the newborn. An APGAR score is a rapid assessment tool used to evaluate a newborn's physical condition immediately after birth, assessing five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration. A low score suggests that the infant is in critical condition and likely requires urgent medical intervention.

Starting resuscitation is the most appropriate action because it addresses the immediate needs of the infant. This may include positive pressure ventilation, chest compressions, and administering certain medications if necessary. Prompt resuscitative efforts can significantly improve outcomes for infants who are severely depressed at birth, thereby addressing any life-threatening conditions they may be experiencing.

While monitoring, performing additional assessments, and providing comfort measures may be relevant in other scenarios, none are sufficient or prioritized actions when the APGAR score indicates a crisis situation. The primary focus must be to ensure the infant's survival and stabilize any immediate threats to their health.