Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use during pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxygen saturation Central nervous system findings Gastrointestinal findings Gastrointestinal findings Central nervous system findings Client reports a small amount of bright red blood in their underwear upon awakening. Client denies contractions or abdominal pain. External fetal monitor applied. Potential Nursing Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Administer methotrexate. Insert a large bore intravenous catheter. Contraindicated Assess Cervical Dilation - She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads - We need to know how much blood she's losing. Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having IV access is critical if we need to administer fluids.
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