Choice A rationale Rubbing the infant's back provides tactile stimulation, which can encourage deeper breaths and a more vigorous cry, aiding in the transition to extrauterine life. While this is a valid intervention for a sluggish infant, it may not be necessary if the respiratory rate is already within the normal range of 30-60 breaths/minute. Cyanosis of the hands and feet (acrocyanosis) is a common, benign finding. Choice B rationale Assessing bowel sounds is part of a comprehensive newborn assessment but is not a priority in a situation where the nurse is evaluating respiratory status and color. Bowel sounds provide information about gastrointestinal function and are not directly related to the infant's oxygenation or transition to extrauterine life. This assessment would be performed after ensuring adequate cardiorespiratory function. Choice C rationale Intubation is an invasive procedure reserved for infants who are not breathing or have severe respiratory distress, such as a respiratory rate below 30 breaths/minute or persistent central cyanosis. A respiratory rate of 40 breaths/minute is within the normal range for a newborn, indicating adequate respiratory effort. Therefore, intubation is not warranted at this time. Choice D rationale Acrocyanosis, or cyanosis of the hands and feet, is a normal physiological finding in the first 24 hours of life due to immature peripheral circulation. The infant's respiratory rate of 40 breaths/minute is within the expected range for a newborn (30-60 breaths/minute). The combination of a normal respiratory rate and benign acrocyanosis indicates the infant is transitioning normally, and continued monitoring is the appropriate action.