A term newborn is delivered after prolonged labor with thick meconium-stained amniotic fluid. The baby is limp, apneic, and has a heart rate of 70 bpm. Initial steps of warming, drying, and stimulation have been completed. What is the most appropriate next step?
A
Perform routine endotracheal suctioning before providing ventilation
B
Start positive pressure ventilation immediately to establish effective breathing
C
Begin chest compressions immediately because HR is below 80 bpm
D
Administer epinephrine via endotracheal tube as the first medication