Newborn Assessment and Nursing Care Study Questions and Correct Answers

the first six hours after birth, in which the newborn is adapting to extra-uterine life. What is neonatal transition? it is used to evaluate the physical condition of the newborn at birth. It is completed one minute after birth, and then again at 5 minutes after birth, then receives a total apgar score of 0-10. What is the apgar scoring system? Heart rate Respiratory effort Muscle tone Reflex irritability Skin tone What are the assessment components of the apgar scoring system? Heart rate - a heart rate less than 100 bpm calls for immediate resuscitation. What is the most critical part of the apgar scoring system? at the junction of the umbilical cord and the skin. Where is heart rate palpated on the skin of a newborn? Respiratory effort - apnea to good crying What is the second most critical component of the apgar scoring system? it is determined by evaluating the degree of flexion and resistance to straightening of the extremities. How is muscle tone evaluated for the apgar scoring test? A normal newborn presents with elbows and hips flexed, with knees positioned up towards the abdomen. How does a normal infant present for muscle tone? stroking of the spine or flicking of the soles of the feet. How is reflex irritability evaluated for the apgar scoring system? cyanosis and skin pallor What does the skin assessment component of the apgar look for? pink body, blue extremities. Scored as a 1 on the apgar test. Present in 85% of newborns, and is deemed normal in newborns 1 minute after birth. What is acrocyanosis?