You respond to a 68-year-old male complaining of shortness of breath. He is sitting upright, speaking in 2–3 word sentences. Assessment findings: - RR: 28 and labored - SpO₂: 90% on room air - Audible wheezes - BP: 168/94 - HR: 112 - History: COPD and hypertension He has a prescribed albuterol inhaler but has not used it yet. What is your best initial action? A. Assist the patient with his prescribed albuterol inhaler B. Apply a nonrebreather mask at 15 L/min C. Begin positive pressure ventilation with a BVM D. Place the patient supine and administer aspirin

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You have just assisted with the delivery of a full-term newborn. The baby was delivered 1 minute ago and appears cyanotic in the trunk and extremities, has a weak cry, some flexion of the extremities, grimaces when stimulated, and has a heart rate of 110. Based on your APGAR assessment, what is your MOST appropriate next step? A) Begin chest compressions and positive pressure ventilation B) Dry and warm the infant, suction the airway, and provide stimulation C) Administer blow-by oxygen only and continue monitoring D) Wrap the infant and place skin-to-skin with the mother

You are called to a residence for a 32-year-old female who is 38 weeks pregnant. She states her contractions are approximately 2 minutes apart and she feels the urge to push. Upon inspection, you observe the umbilical cord presenting from the vaginal opening ahead of the baby. What is your MOST appropriate action? A) Place the mother in a supine position and prepare for immediate delivery B) Attempt to gently push the cord back into the vaginal canal C) Position the mother with hips elevated, apply moist sterile dressings to the cord, and transport immediately D) Coach the mother to push with each contraction to deliver the baby as quickly as possible