NSG 3500 - Exam 4 Galen College of Nursing-Louisville | UPDATED
Questions with 100% Verified Answers
Question:
When is the APGAR score assigned?
Answer:
At 1 and 5 minutes after birth
Question:
What are the five categories of the APGAR score?
Answer:
1. HR
2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
Question:
When the APGAR score is <9 at 5 minutes, it is more
important to stabilize the infant than keep them with mom.
T/F?
Answer:
True
Question:
What does each APGAR score mean?
Answer:
>7 = normal 4-6 = low <3 = critical
Question:
What are the 4 factors that influence initiation of the first
breath?
, Answer:
Chemical factors: hypercarbia, acidosis, and hypoxia Sensory
factors: overwhelming stimuli aids in transition Thermal
factors: drastic change in temp aids in transition Mechanical
factors: thoracic squeeze through birth causes fluid release
and replacement with air
Question:
Why does hypoxia, hypercarbia, and acidosis trigger
respirations?
Answer:
- hypoxia causes blood oxygen (PO2) levels to rise and pH to
drop
- carbon dioxide levels (PCO2) begin to rise and prompt the
resp center within the medulla to initiate breathing
Question:
Periodic breathing in a newborn is not usually associated with
any change in skin color or HR. How long are these pauses?
Answer:
5-15 seconds (approx 3 seconds is norm? P. 298)
Question:
What are indicators of respiratory difficulties in the newborn?
Answer:
- apnea (no breathing for more than 20 seconds)
- expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at rest
- high RR
, Question:
What are the five changes for successful cardiopulmonary
adaptation?
Answer:
- increased aortic pressure
- decreased venous pressure
- increased systemic pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
Question:
What is the HR when baby is first born?
Answer:
160-180 and then 30 min later it goes to 120-160
Question:
The baby cannot become hypoglycemic from heat loss. T/F?
Answer:
False.
Question:
How do newborns respond to cold?
Answer:
They burn brown adipose tissue since they cannot shiver to
maintain warmth
Question:
What can the nurse do to regulate temperature in the
newborn?
Answer:
- skin-to-skin contact with mom and warm blankets
- dry head and place cap on baby
Questions with 100% Verified Answers
Question:
When is the APGAR score assigned?
Answer:
At 1 and 5 minutes after birth
Question:
What are the five categories of the APGAR score?
Answer:
1. HR
2. RR
3. muscle tone
4. reflex irritability (cry)
5. generalized skin color (coloring)
Question:
When the APGAR score is <9 at 5 minutes, it is more
important to stabilize the infant than keep them with mom.
T/F?
Answer:
True
Question:
What does each APGAR score mean?
Answer:
>7 = normal 4-6 = low <3 = critical
Question:
What are the 4 factors that influence initiation of the first
breath?
, Answer:
Chemical factors: hypercarbia, acidosis, and hypoxia Sensory
factors: overwhelming stimuli aids in transition Thermal
factors: drastic change in temp aids in transition Mechanical
factors: thoracic squeeze through birth causes fluid release
and replacement with air
Question:
Why does hypoxia, hypercarbia, and acidosis trigger
respirations?
Answer:
- hypoxia causes blood oxygen (PO2) levels to rise and pH to
drop
- carbon dioxide levels (PCO2) begin to rise and prompt the
resp center within the medulla to initiate breathing
Question:
Periodic breathing in a newborn is not usually associated with
any change in skin color or HR. How long are these pauses?
Answer:
5-15 seconds (approx 3 seconds is norm? P. 298)
Question:
What are indicators of respiratory difficulties in the newborn?
Answer:
- apnea (no breathing for more than 20 seconds)
- expiratory grunting
- wheezing
- nasal flaring
- retractions
- use of accessory muscles to breathe when at rest
- high RR
, Question:
What are the five changes for successful cardiopulmonary
adaptation?
Answer:
- increased aortic pressure
- decreased venous pressure
- increased systemic pressure
- decreased pulmonary pressure
- closure of foramen ovale, DA, and DV
Question:
What is the HR when baby is first born?
Answer:
160-180 and then 30 min later it goes to 120-160
Question:
The baby cannot become hypoglycemic from heat loss. T/F?
Answer:
False.
Question:
How do newborns respond to cold?
Answer:
They burn brown adipose tissue since they cannot shiver to
maintain warmth
Question:
What can the nurse do to regulate temperature in the
newborn?
Answer:
- skin-to-skin contact with mom and warm blankets
- dry head and place cap on baby
