Nur 231 Exam 3: Nursing Care of the
Newborn and Family, Questions and Correct
Answers. With Complete Solution , Updated 2024.
what is the APGAR score
It is a scoring system for assessing the status of a newborn that assigns a number value
to each of the five areas of assessment
checks to see if the baby will need emergent medical intervention
what are the five signs of an APGAR score
heart rate
respiratory rate
muscle tone
reflex irritability
color
a score of _____ on the APGAR score is the best
10
is it common for the baby to not score a 10 right away on the APGAR score
yes
if a baby scores less than _____ consistently then the APGAR score is done
every ____ minutes for ____ minutes
7, 5, 20
an APGAR score is checked at _____ min, ____ min, and ____ mins after birth
1, 5, 10
during a c-section a _____ doctor will be in the room, in case the baby will need
_____ ______
pediatric, neonatal resuscitation
from birth through the first two hours nursing care involves
physical assessment of newborn
infant vital signs
baseline measurements of physical growth
what are signs and symptoms of respiratory distress
nasal flaring
skin retractions
cyanosis
, what is a normal newborn RR
30-60
a nurse should count an newborn respiratory rate for ____ minute
one
what is a normal newborn heart rate
100-190
a nurse should listen to the apical pulse for _____ minute
one
the newborn heart rate will fluctuate with the _____ rates, causing a _____ ______
respiratory, sinus arrhythmias
the temperature on a newborn is checked _______ and normal is ____-_____
axillary, 97.5-99.3
what is included in baseline measurements of physical growth
weight
head circumference and body length
neurologic assessment
when weighing a newborn they should be wearing no ______ and have a _____
diaper on
clothes, dry
the length of a newborn is measured from _____ to _____, and normal is _____-
____ inches
head, heel, 18-22
the head circumference of a newborn is a measurement of the ______ diameter of
the _____, normal is _____-____ centimeters
largest, head, 33-38
to find the chest circumference of a newborn the nurse should use the ______
line as a guide
nipple
the first period of reactivity lasts how long
up to 30 minutes after birth
during the first period of reactivity the newborn's heart rate increases from _____
to _____
160-180
after ____ minutes during the first period of activity the newborn's heart rate will
go back to _______
30, baseline
during the first period of reactivity how does the newborn respond to stimuli
the newborn is alert and has spontaneous startles, crying, and head movement
period of decreased responsiveness lasts how long
60-100 minutes
during the period of decreased responsive respirations are ____ and _____ and
up to ____ breaths/min
rapid, shallow, 60
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