APGAR Score Quiz: Test Your Knowledge with Practice Questions

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Questions and Answers

What is the best way to determine a newborn's heart rate?

Measuring the newborn's peripheral oxygen saturation

Auscultating the newborn's heart (correct)

Palpating the newborn's radial pulse

Counting the number of breaths per minute

When should a newborn spontaneously cry after birth?

Immediately after birth

About 30 seconds after birth (correct)

About 1 minute after birth

About 2 minutes after birth

What is an indication of poor muscle tone in a newborn?

Flaccid extremities (correct)

Trembling extremities

Flexed extremities

Extended extremities

What is the age range of a newborn, according to the Newborn Screening Act?

0 to 30 days Signup and view all the answers

Why is it important to assess an infant under a prewarmed radiant heat warmer?

To guard against heat loss Signup and view all the answers

What is true about newborns' color at birth?

They are initially cyanotic Signup and view all the answers

What is a cue used to evaluate reflex irritability in a newborn?

Response to a suction catheter in the nostrils Signup and view all the answers

Why is a 10-minute APGAR scoring performed?

When the 5-minute score is under 7 Signup and view all the answers

What is an indication of a newborn's respiratory status?

Color Signup and view all the answers

What is an important aspect of continuing assessment of high-risk infants?

Combining instrumentation with frequent observation Signup and view all the answers

A nursing diagnosis for a newborn may include?

Both a and b Signup and view all the answers

What is a crucial aspect of newborn assessment?

Both a and b Signup and view all the answers

What is assessed during the 1-minute APGAR scoring?

Cardio-respiratory function and general condition Signup and view all the answers

Why is suctioning important in neonatal care?

To clear the airway of mucus or amniotic fluid Signup and view all the answers

What is NOT one of the aspects involved in APGAR scoring?

Body temperature Signup and view all the answers

What is an important aspect of developmental care?

Balancing physiologic needs and stimulation Signup and view all the answers

What is a crucial aspect of respiratory care for newborns?

Initiation and maintenance of respirations Signup and view all the answers

What is essential for maintaining a stable body temperature in newborns?

Controlling body temperature Signup and view all the answers

Study Notes

Assessment of the High Risk Newborn: APGAR Scoring

APGAR scoring is a numerical expression of the newborn's adaptation to extra uterine life at 1 and 5 minutes after birth.
APGAR scoring involves 5 aspects: heart rate, respiratory effort, muscle tone, reflex irritability, and color.

Heart Rate

Heart rate is determined by auscultating the newborn's heart.
It is the best way to determine heart rate.

Respiratory Effort

Newborns usually cry spontaneously at about 30 seconds after birth.
Respiratory effort is observed in the presence of breath sounds.

Muscle Tone

Mature newborns hold their extremities tightly flexed, simulating their intrauterine position.
They should resist any effort to extend their extremities.
Poor muscle tone is observed when the infant shows no flexion of the arms and legs, and the extremities "flop" back to the mattress when manipulated or flexed.

Reflex Irritability

One of two possible cues is used to evaluate this point: response to a suction catheter in the nostrils (cough or sneeze) or response to having the soles of the feet slapped (cry and withdrawal of foot).

Color

All infants appear cyanotic at the moment of birth.
They grow pink with or shortly after the first breath.
The color of the newborn corresponds to how well they are breathing.

Newborn Care

Newborns need to be assessed at birth for obvious congenital anomalies and gestational age.
Assessments should be made with an infant under a prewarmed radiant heat warmer to guard against heat loss.

Nursing Diagnosis

Ineffective airway clearance is related to the presence of mucus or amniotic fluid in the airway.
Ineffective cardiovascular tissue perfusion is related to breathing difficulty.
Nursing care involves initiation and maintenance of respirations, establishment of extrauterine circulation, and maintenance of fluid and electrolyte balance, among others.

Continuing Assessment

Continuing assessment of high-risk infants involves the use of instrumentation such as cardiac, apnea, and blood pressure monitoring.
Close observation is crucial and cannot be replaced by monitor equipment.

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Description

Assess the high-risk newborn with a poor APGAR score. Learn how to obtain the APGAR scoring, including heart rate, respiratory effort, and muscle tone. Apply your knowledge in this quiz.