Neonate that improved with positive pressure ventilation (PPV) can be taken off PPV immediately after improvement.

• A. True
• B. False
• C. Only after arterial blood gas normalization
• D. Only after 5 minutes of PPV

Answer: (A)

PPV is used to establish adequate ventilation, and once the newborn shows clear stabilization, you can discontinue PPV promptly. The key sign of improvement is a heart rate that rises to at least 100 beats per minute with spontaneous breathing efforts underway. At that point, stopping PPV and observing the infant is appropriate rather than waiting for lab results or a fixed duration. You should continue to monitor closely, keep the baby warm, and be ready to resume support if breathing or heart rate deteriorates.