The mother brings her 18-month-old child to the clinic with concerns for developmental delay. She states, “She says ‘Mama’ and ‘Dada’, and ten or so other words. I keep working with her but I’m concerned she is falling behind.” Which response by the nurse is most appropriate?

A newborn was delivered one minute ago. He is not breathing, has a heart rate of 128 bpm, has a moderate amount of lanugo, has some muscle tone without active movement, does not grimace with stimuli, and has a pink body with blue extremities. Which APGAR score is correct?

The 28-year-old G2P1 patient presents after rupture of membranes 2 hours ago at 39 weeks gestation. She has a history of prior cesarean section for failure to progress but is otherwise healthy; this pregnancy is uncomplicated. Contractions are painful and labor is progressing. Abruptly, the patient complains of extreme abdominal pain; the nurse observes a significant amount of blood coming from her vagina. Which action is most important?