<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 3580-g 7-lb 14-oz male newborn is delivered at 36 weeks gestation to a 26-year-old woman, gravida 2, para 1 after an uncomplicated pregnancy. His temperature is 36.7C 98.1F, heart rate is 96min, and respirations are 55min and irregular. Pulse oximetry on room air shows an oxygen saturation of 65 measured in the right hand. He sneezes and grimaces during suction of secretions from his mouth. There is some flexion movement. The trunk is pink and the extremities are blue. The cord is clamped and the newborn is dried and wrapped in a prewarmed towel. Which of the following is the most appropriate next best step in management?? A: Administer erythromycin ophthalmic ointment, B: Administer positive pressure ventilation, C: Perform endotracheal intubation, D: Administer intravenous epinephrine, E: Perform chest compressionsn,  <response>: This is a question about initial management of a newborn with respiratory distress. The key findings in the stem are prematurity at 36 weeks, low oxygen saturation of 65 on room air, irregular respirations, and blue extremities suggesting cyanosis. Choice A about erythromycin ointment is incorrect because it does not address the immediate respiratory issues. Choice B about positive pressure ventilation is reasonable as an initial step to support ventilation and improve oxygenation. Choice C about intubation may be premature as the initial step given some spontaneous breathing and movement. Choice D about epinephrine is not indicated yet since there is no mention of bradycardia or cardiovascular collapse. Choice E about chest compressions is incorrect because there is no indication of cardiac arrest.In summary, choice B about positive pressure ventilation is likely the best next step to support this newborns breathing and oxygenation without jumping immediately to more invasive interventions before assessing response.B: Administer positive pressure ventilation 