NUR 335 EXAM 4 QUESTIONS AND ANSWERS

What is the APGAR scale? What score requires resuscitation? - Appearance, Pulse, Grimace, Activity, Respiration; - measure for evaluating newborn baby taken at 1 minute and 5 minutes (each category scored from 0-2) - Score less than 6 indicates need for resuscitation What are the reflexes that newborns should have? Rooting Sucking Fencing/tonic Moro/startle Palmer Plantar Babinski Stepping/dancing What are the three things that initial respirations in the neonate? Chemical stimuli: mild hypoxia Mechanical stimuli: compression of chest during labor Sensory stimuli: thermal, tactile, auditory, and light stimuli (leads to crying which requires inspiration) What are the 2 factors that negatively impact the transition to breathing independently for a neonate? - Decreased lung surfactant as a result of immature lungs (often in premature infants) - Severe or persistent hypoxemia and acidosis (hypoxia can result in hypotonia which can increase the difficulty of respirations) What are the signs of respiratory distress in a neonate? Central cyanosis (around mouth and nose) Tachypnea or apnea for more than 10 seconds Grunting Nostril flaring Chest retractions Hypoto