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Normal transitional physiology includes lower oxygen saturations in the first minutes after birth; target SpO₂ rises gradually (e.g., ~60–65% at 1 min, ~65–70% at 2 min, ~70–75% at 3 min, progressing to >85% by 10 min). The infant is breathing with a normal heart rate, so ventilation is adequate. Free-flow supplemental oxygen titrated to targets is appropriate; avoid over-oxygenation which can cause oxidative stress. Chest compressions and epinephrine are indicated for HR <60 despite effective ventilation, which is not the case here. Intubation is reserved for inadequate ventilation, meconium with poor tone, or failed mask ventilation. Paramedic neonatal objectives emphasize warm/dry/stimulate, proper positioning, pulse oximetry on the right hand (pre-ductal), and titration of oxygen using blended sources when available. Reassess frequently; if saturations fail to rise with oxygen or respiratory effort deteriorates, escalate to positive pressure ventilation. Understanding normal saturation trajectories prevents unnecessary invasive interventions.