A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities.

Calculate the newborn's Apgar score.

Rationale:

A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate

action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.

B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.

C. Separating the child from the parents may not be feasible or appropriate in all situations.

Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.

D. Report the suspected abuse to the authorities. Suspected child abuse must be reported

immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.

Rationale:

A. Green penile discharge is not a typical finding in genital herpes. Discharge associated with genital herpes is usually clear or cloudy and may be accompanied by pain or itching.

B. Influenza-like symptoms, such as fever, headache, muscle aches, and fatigue, are common manifestations of genital herpes. However, they are not specific to the condition and can occur with various viral infections.

C. Anuria, or the absence of urine production, is not associated with genital herpes. It is a symptom of renal dysfunction or urinary tract obstruction.

D. White- or flesh-colored papillary growths in the genital area, known as genital warts or condylomata acuminata, are a characteristic finding of genital herpes caused by HSV 2. These growths are typically painless but can cause itching or discomfort.