1. This document provides a list of questions and factors to consider in the differential diagnosis of cyanosis in a newborn baby. It includes questions about the mother's medical history and pregnancy, the baby's history and symptoms, possible causes related to feeding, smoking exposure, and delivery complications. 2. A number of potential differential diagnoses are outlined for central, respiratory, cardiovascular, and other causes of cyanosis. Common causes include pneumonia, methemoglobinemia, and transient tachypnea of the newborn. 3. Suggested initial investigations are described that can help evaluate the cardiopulmonary status of the baby and identify potential causes, such as capillary refill time, vital signs,