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A comprehensive set of apgar practice questions and answers, covering various scenarios related to the assessment of newborn infants. The questions cover topics such as the priority actions for a newborn with low apgar scores, interpreting apgar scores based on vital signs and physical characteristics, and the critical observations for apgar scoring. The document also explains the intervals associated with apgar scoring and the predictable order in which the apgar score characteristics disappear during physiologic depression. This resource is likely to be useful for healthcare professionals, particularly nurses and medical students, who need to be proficient in administering and interpreting the apgar assessment.
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A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. In planning for the admission of this infant, the nurse's highest priority should be too: A. Connect the resuscitation bag to the oxygen outlet B. Turn on the apnea and Cartier respiratory monitors C. Set up the intravenous line with 5% dextrous in water D. Set the radiant warmer control temperature at 36.5゚C (97.6゚F) - ✔✔A. Connect the resuscitation bag to the oxygen outlet The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which would involve preparing respiratory resuscitation equipment. The other options are also important, although they are of lower priority. A newborn has a strong cry and is actively moving his blue extremities when stimulated. It did. Vital signs are P140, R48. What is his Apgar score? - ✔✔ 9 A1 P2 G2 A2 R You are assessing the one minute Apgar score for a newborn. She is pink all over and has a pulse of 130. As you dry her off she begins to cry vigorously and kick her legs. Her Apgar score is? - ✔✔ 10 A2 P2 G2 A2 R You just delivered a baby boy. His body is pink, but his hands and feet are blue. Vital signs are P110, R rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His APGAR score is? - ✔✔ 7 A1 P2 G1 A1 R A neonatal patient has a pink color, a pulse rate of 102, respiration rate of 27. She grimaces in response to stimuli, has limited muscle movement. This patient has an Apgar score of? - ✔✔ 7
It has been five minutes since your patient delivered her baby. The infant is crying weakly and is curling his arms and legs. He is pink all over with a pulse of 90 and weak respirations. What is his Apgar score - ✔✔ 6 A2 P1 G1 A1 R The primary critical observation for APGAR scoring is the: A. Heart rate B. Respiratory rate C. Presence of meconium D. Evaluation of the Moro reflex - ✔✔A. Heart rate was found to be the most important diagnostic and prognostic of the five signs; it's vital for life and the most critical observation pg. 601 The expected respiratory rate of a neonate within three minutes of birth may be as high as: A. 50 B. 60 C. 80 D. 100 - ✔✔The respiratory rate is associated with activity and can be as Rapid as 60 breaths per minute; over 60 breaths per minute are considered tachypneic in the infant pg. 603 After assisting in the delivery of a newborn infant is pale and limp, has a slow heartbeat but shows some respiratory effort. What Apgar score would you give the infant - ✔✔ 2 A0 P1 G- A0 R Starting at which number on the APGAR score should you need to start resuscitation efforts? - ✔✔ 6 What should a normal newborn Apgar score be? - ✔✔ 8 - 10