The neonate of 36 weeks estimated gestational age is born via emergency cesarean section, appears limp, blue, and apneic, and is brought to the warming table. He is warmed, dried, and stimulated, and a pulse oximeter is placed on his right wrist. At 30 seconds of life, his heart rate is 66 bpm and his oxygen saturation is 54%. Positive pressure ventilation is initiated via CPAP bag and mask. At one minute of life, the heart rate is 118 bpm, the extremities are still blue but the trunk is pink, and he begins to move and cry with stimulation. The nurse documents which number for the Apgar score? Enter your answer using a whole number.

A first-time mother brings in her one-year-old daughter for a check-up. Which assessment finding requires further investigation?

The 40-year-old woman is pregnant for the first time. She undergoes prenatal testing and is found to have an elevated serum alpha-fetoprotein and asks the nurse to explain what this could mean for her baby. Which response by the nurse is most appropriate?