Letby, 34, is accused of attempting to murder the infant by displacing her breathing tube when she was being treated at the Countess of Chester hospital's neonatal unit.
The child, known as Baby K, was born "extremely premature" at 2.12am on 17 February 2016 and weighed just 1lb 8oz (680g).
Baby K was moved to the unit's intensive care room, nursery one, to get her stable enough to be transferred to a specialist hospital, jurors at Manchester crown court were told.
Within two hours of Baby K's birth, Letby was said to have been "caught virtually red-handed" by a senior consultant paediatrician when he saw her standing over the cot "doing nothing" as Baby K's blood oxygen levels dipped and alarms were not sounding as they should have done.
The prosecution says the defendant went on to interfere with Baby K's breathing tube twice more on the same night shift in an attempt to give the impression to her colleagues that the infant was habitually dislodging her own tube.
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