When a neonate is cyanotic and non-responsive after birth, what should the therapist do first?

Administering oxygen is a critical first step when a neonate presents with cyanosis and non-responsiveness after birth. The rationale behind this is that cyanosis indicates a lack of adequate oxygenation in the blood, and immediate intervention is necessary to improve the baby's oxygen levels. Providing supplemental oxygen can help to alleviate hypoxia, which is crucial in stabilizing the infant's condition.

In cases of neonatal asphyxia or respiratory distress, early oxygen support can be life saving. This intervention helps to ensure that the baby's vital organs receive the oxygen they need to function properly. It is also essential to remember that while other actions like initiating chest compressions, calling for assistance, or starting bag-mask ventilation may eventually be necessary depending on the baby's condition, the immediate focus should be on improving oxygenation. Thus, administering oxygen is the prioritized initial action in this scenario.