At 5 minute after birth a nurse assesses an infant and notes a heart rate of 115 beats/min, some occasional flexion of extremities, slow irregular respirations, grimacing, and a pink body but blue extremities. The nurse calculates an Apgar score of:

The perinatal nurse is teaching her new mother about breastfeeding and explains that the most appropriate time to breastfeed is:

A woman with asthma is experiencing a postpartum hemorrhage. Which drug is not used to treat her bleeding because it may exacerbate her asthma?

The mother of a healthy 15-hour old newborn states, “We are going home in 2 hours.  Should the Newborn Screening blood tests be completed on my baby before we leave?”  Which statement should be the basis for the nurse’s response?

A nurse is providing discharge teaching to the parents of a 2-day-old neonate. Which of the following information should be included in the discharge teaching on umbilical cord care?

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply)

A patient delivered twins vaginally 1 hour ago.  They are 38 weeks gestation. She is now a G6 P5 and is 30 minutes postpartum. Twin A was 2867 grams and Twin B was 3250 grams. Mom plans on formula feeding. At this time, which of the following complications should the Labor nurse closely monitor the patient for?

A 39 week infant is born after a forceps-assisted delivery. Apgars were 7 and 9. After stabilization, the infant is weighed and found to be Large for Gestational Age (LGA). The nurse’s most appropriate action is to:

The nursing is caring for a 27-year-old female patient who is pregnant at 39 weeks and 5 days gestation. The patient is having contractions every 3 – 5 minutes. The patient’s pelvis is gynecoid. Her cervix is dilated to 4 cm, 75% effaced, and a -2 station.  The fetus has an estimated fetal weight of 8 lbs and is in the ROP position. This patient is laboring  on a birthing ball. Her mother is her support person. The nurse is concerned about the five Ps and their effect on the patient’s labor. Which P is the nurse most likely concerned about based on the patient’s history?

The labor and delivery nurse is present for the delivery of a 35 week premature neonate. Which action by the nurse, upon receiving the neonate, is most important?