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NURA 404 OB FINAL EXAM OUTCOMES
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NURA 404 OB FINAL EXAM OUTCOMES2024-2025
Appropriately assign APGAR score to a newborn. - ANSWER If the Apgar score is
8 points or higher, no intervention is needed other than supporting normal
respiratory efforts and maintaining thermoregulation. Scores of 4 to 7 points signify
moderate difficulty and scores of 0 to 3 points represent severe distress in adjusting
to extrauterine life.
Score at 1 and 5 minutes. 0 points for poor response, 1 for partial, and 2 for best.
APGAR - ANSWER *Appearance* (all pink, pink body with blue extremities, or
blue/pale) - inspection of trunk and extremities with the appropriate colour for
ethnicity appearing within minutes after birth
*Pulse* (>100, slow <100, or absent) - auscultation of apical heart rate for 1 full
minute
*Grimace* (2=sneeze, cough, or vigorous cry/ 1=grimace/0=no response) Flick
soles of feet or suction nose
*Activity* (2=tight flexion & resistance to extension, 1=some flexion, 0=flaccid,
limp)- observation of the extent of flexion in the newborn's extremities and
newborn's resistance when the extremities are pulled away from the body)
*Respirations* (strong cry, weak cry, absent) - observation of the volume and vigor
of the newborn's cry; auscultation of depth and rate of respirations
1. You're assessing the one minute APGAR score of a newborn baby. On
assessment, you note the following about your newborn patient: heart rate 130,
pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs,
active movement and crying when stimulated. What is your patient's APGAR
score?
A. APGAR 9
B. APGAR 10
,C. APGAR 8
D. APGAR 5 - ANSWER C. APGAR 8
A: 1, P: 2, G, 2, A: 2, R: 1
2. You're assessing the one minute APGAR score of a newborn baby. On
assessment, you note the following about your newborn patient: heart rate 101,
cyanotic body and extremities, no response to stimulation, no flexion of
extremities, and strong cry. What is your patient's APGAR score?
A. APGAR 4
B. APGAR 6
C. APGAR 3
D. APGAR 2 - ANSWER A: APGAR 4
A: 0, P: 2, G, 0, A: 0, R: 2
3. You're assessing the one minute APGAR score of a newborn baby. On
assessment, you note the following about your newborn patient: weak cry, some
flexion of the arm and legs, active movement and cries to stimulation, heart rate
145, and pallor all over the body and extremities. What is your patient's APGAR
score?
A. APGAR 5
B. APGAR 9
C. APGAR 12
D. APGAR 6 - ANSWER D: APGAR 6
A: 0, P: 2, G, 2, A: 1, R: 1
4. A newborn's five minute APGAR score is 5. Which of the following nursing
interventions will you provide to this newborn?
A. Routine post-delivery care
B. Continue to monitor and reassess the APGAR score in 10 minutes.
,C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
D. Full resuscitation assistance is needed and reassess APGAR score. - ANSWER
C. Some resuscitation assistance such as oxygen and rubbing baby's back and
reassess APGAR score.
Scoring Interventions are as follows:
7-10: no interventions, baby doing good just needs routine post-delivery care,
4-6: some resuscitation assistance required like oxygen, suction.... stimulate the
baby, rub baby's back,
0-3: needs full resuscitation
5. Regarding the scenario in the question above, when would you reassess the
APGAR?
A. 2 minutes after the previous APGAR assessment
B. 15 minutes after the previous APGAR assessment
C. 5 minutes after the previous APGAR assessment
D. No reassessment of the APGAR score is needed. - ANSWER C. 5 minutes after
the previous APGAR assessment
The APGAR score is performed at 1 minute and 5 minutes after birth and
reassessed at 10 minutes (5 minutes later) after birth, IF the score is 6 or less.
Therefore, in this scenario since the APGAR score was less than 6 at the routine 5
minute APGAR assessment, the nurse would reassess the APGAR score 5 minutes
later (hence 10 minutes post birth).
6. You're assessing the five minute APGAR score of a newborn baby. On
assessment, you note the following about your newborn patient: pink body and
hands with cyanotic feet, heart rate 109, grimace to stimulation, flaccid, and
irregular cry. What is your patient's APGAR score?
, A. APGAR 8
B. APGAR 5
C. APGAR 6
D. APGAR 3 - ANSWER B. APGAR 5
A: 1, P: 2, G, 1, A: 0, R: 1
7. You're assessing the five minute APGAR score of a newborn baby. On
assessment, you note the following about your newborn patient: heart rate 97, no
response to stimulation, flaccid, absent respirations, cyanotic throughout. What is
your patient's APGAR score?
A. APGAR 2
B. APGAR 3
C. APGAR 0
D. APGAR 1 - ANSWER D. APGAR 1
A: 0, P: 1, G, 0, A: 0, R: 0
Explain the nursing interventions of the newborn during transition. - ANSWER -
APGAR
- Cut cord
- Dry off baby
- Ballard Score under radiant warmer
- Length, weight, head size, chest size
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