What should be immediately checked on a newborn after delivery?

After delivery, the immediate assessment of a newborn must prioritize ensuring that the airway is clear and that the newborn is breathing effectively. Airway patency is crucial because any obstruction can lead to respiratory distress, which can be life-threatening if not addressed promptly. Ensuring that the airway is clear allows for effective gas exchange and is essential for the newborn's survival.

Breathing must be assessed to determine if the infant is able to initiate spontaneous respiration. If the newborn is not breathing or is having difficulty breathing, immediate intervention, such as providing positive pressure ventilation or other resuscitative measures, may be necessary.

While checking heart rate and temperature is important in the overall assessment and monitoring of the newborn, the most critical actions immediately after birth focus on ensuring the newborn can breathe adequately. Thus, assessing airway patency and breathing takes precedence.