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. Using a pacifier during naps and bedtime is recommended as it has been associated with a decreased risk of SIDS.

B. Bed-sharing, especially with a breastfeeding mother, is a risk factor for SIDS. The American Academy of Pediatrics recommends room-sharing without bed-sharing.

C. Placing the baby on her back for sleep is a safe sleep practice and helps reduce the risk of SIDS.

D. Removing blankets and toys from the crib reduces the risk of suffocation and is a recommended safe sleep practice.

Rationale:

A. Obtain a type and crossmatch: While obtaining a type and crossmatch may be necessary in the event of significant hemorrhage, the first action should be to address the potential cause of hypotension, which could be uterine atony.

B. Evaluate the firmness of the uterus: Postpartum hypotension is often caused by uterine atony, so the first action should be to assess the firmness of the uterus and massage it to stimulate contraction if necessary.

C. Administer oxytocin infusion: Oxytocin infusion may be necessary to help contract the uterus and control bleeding, but it should be implemented after assessing uterine firmness.

D. Initiate oxygen therapy by nonrebreather mask: While oxygen therapy may be needed if the client is hypotensive due to hemorrhage, assessing uterine firmness is the priority action to address the potential cause of hypotension.