1. Place in room near nurses’ station for maximum observation with a nurse or parent present at all times.
          2. Suction, oxygen, and resuscitation equipment readily available if needed.
          3. Observe for apnea or bradycardia; note duration and associated symptoms - color change, change in muscle tone.
          4. If apnea occurs, use gentle stimulation to start infant breathing again. If ineffective, begin CPR.
          5. If suctioning is needed, do it gently for the shortest time and least number of times possible to maintain patent airway. Note: Repeated, vigor- ous suctioning is associated with prolonged periods of apnea.