Health Assessment- Newborn Assessment Practice Questions and Correct Answers

What are the 5 assessment categories to the APGAR scoring system? (APGAR = Appearance (color), Pulse, Grimace (reflex irritability/cry), Activity (muscle tone), Respirations) What is the role of vernix caseosa? Protects newborn while in utero (fluid), lubrication with birth, & immunological & thermoregulatory properties after birth Name at least 3 screening tests performed on the newborn after birth. APGAR; Hearing; CCHD; Metabolic; Jaundice/Bilirubin (TcB); Blood sugar for Hypoglycemia if indicated What are the 3 medications administered to a newborn after birth? Vitamin K, Erythromycin; Hepatitis B vaccine What is the perfect APGAR score? 10 You need to wear gloves when handling the infant until what? after the first bath How does the APGAR score guide us? guides our decision making and gives us an idea of how many interventions we might have to do How do you stimulate a baby to cry? by rub their back up their spin, rub their foot, rub the head (not causing over stimulation or harm) (can occur when wiping them off) the more force behind the scream the better At 1 minute after birth, the nurse assesses the newborn and notes a heart rate of 110 beats/minute, some flexion of the extremities, a weak cry, grimacing, and a pink body with blue hands/feet. The nurse would calculate an Apgar score of: 5 6 7 8 6 A nurse is assessing a newborn at birth. The nurse knows the most critical physiologic change required of the newborn is: A. closure of fetal shunts in the circulatory system. B. full function of the immune defense system at birth. C. maintenance of a stable temperature. D. initiation and maintenance of respirations. D. initiation and maintenance of respirations Nurses can prevent evaporative heat loss in the newborn by: A. drying the baby after birth and wrapping the baby in a dry blanket. B. keeping the baby out of drafts and away from air conditioners. C. placing the baby away from the outside wall and the windows. D. warming the stethoscope and the nurse's hands before touching the baby. A. drying the baby after birth and wrapping the baby in a dry blanket