The fetus with single ventricle anatomy (hypoplastic right or left heart syndrome) requires prostaglandin E1 infusion to be started immediately after birth to prevent the closure of the ductus arteriosus and subsequent circulatory collapse. Labor started spontaneously, the patient had an adequate AFI, and the fetus is exhibiting tolerance of labor with moderate variable in FHT, which indicates the absence of fetal acidemia. The fetus is stable in utero and will most likely be stable ex utero as long as a PGE1 infusion is started as soon as possible after birth. A peripheral IV insertion in the delivery room is sufficient for the initiation of PGE. The fetus is not likely to require intubation and ventilation. It is better practice to defer umbilical catheterization until out of the delivery room; this improves the sterility of the procedure and protects the patient from a blood stream infection. Additionally, the otherwise healthy fetus born to a healthy mother has a decent energy store when born at full term, so dextrose-containing fluids are of less importance than the PGE. Syringes of epinephrine would be prepared for a fetus that was in distress; this fetus is not in distress, so these are not necessary.