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Infant Assessment (NURS 261) Questions and Correct Answers 100% Correct. 115 Q&A. $12.99   Add to cart

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Infant Assessment (NURS 261) Questions and Correct Answers 100% Correct. 115 Q&A.

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Infant Assessment (NURS 261) Questions and Correct Answers 100% Correct. 115 Q&A. Full term 37 - 40 weeks Normal vitals: Temperature 97.7 - 99 F 36.5 - 37.2 C Normal vitals: Heart Rate

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  • July 17, 2024
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  • 2023/2024
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Infant Assessment (NURS 261)
Questions and Correct Answers 100%
Correct. 115 Q&A.
Full term

37 - 40 weeks

Normal vitals: Temperature

97.7 - 99 F
36.5 - 37.2 C

Normal vitals: Heart Rate

110 - 160 bpm
*up to 180 when crying

Normal vitals: Respiratory Rate

30 - 60 bpm
*increases with crying
*can have irregular breathing
*periods of apnea up to 15 seconds

Normal vitals: Blood Pressure

SBP: 50 - 75 mmHg
DBP: 30 - 45 mmHg

Questions to ask or research prior to caring for the client

-Term
-Amniotic fluid status
-Prenatal care
-Apgar scores
-Type of delivery
-Prenatal GBS status
-Forceps/Vacuum

If there is a lot of amniotic fluid, there is an increased risk of...

hypoglycemia

If there is a small amount of amniotic fluid, then mom is likely...

dehydrated
(or baby isn't urinating)

,APGAR scale

-a standard measurement system that looks for a variety of indications of good health in newborns

-first scoring at 1 minute

Appearance, Pulse, Grimace, Activity, Respiration




Maximum Apgar score

10

Second Apgar score should be at least...

7

If 2nd Apgar score is less than 7, continue scoring every...

5 minutes

C-Section babies have higher risk of...

-respiratory distress (lungs aren't squeezed as well as through vaginal vault)

-cephalohematoma (use of forceps, vacuum)

LATCH score

Successful score is 8/10 or greater

Latch, Audible swallowing, Type of nipple, Comfort, and Hold




Gestational age assessment form

-every baby should have one (keeps nurses sharp)

-the score should indicate how many weeks gestation (ex: 40 = 40 weeks, 25 = 34 weeks)

, Obstetrical methods

-LMP
-conception/ovulation date
-implantation bleeding
-pregnancy test
-pelvic exam <16 wks
-FHT by doppler (9-12 wks)
-uterus @ umbilicus (20 wks)
-fundal height
-fetal movement
-ultrasound (crown-rump, biparietal diameter, femur length)

US: Crown-Rump

<14 wks




US: biparietal diameter

-ear to ear
-12-42 wks




US: femur length

12-24 wks

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