COMPLETE QUESTIONS AND ANSWER VERIFIED/GRADED A+
What are the different levels of Muscle Tone within the APGAR
Scoring System? - ----Answers---0 = Flaccid
1 = Some Flexion of Extremities
2 = Active motion
What are the different levels of Reflex Irritability within the
APGAR Scoring System? - ----Answers---0 = none
1 = Grimace
2 = Vigorous Crying
What are the different levels of Color within the APGAR
Scoring System? - ----Answers---0 = Pale Blue
1 = Body Pink, blue Extremities
2 = Completely pink
Define SGA - ----Answers---Small for Gestational Age
when a baby is < 2,500 gm
Define LGA - ----Answers---Large for Gestational Age
Any baby over > 4,000 gm
,What kind of newborn should receive a gestational Age
assessment? - ----Answers---SGA, LGA, Diabetic Mothers, or
mothers that didn't receive prenatal care
Describe a newborn babies senses? - ----Answers---Vision -
can see only 8 - 12 inches and likes bright colors
Hearing - developed
Touch - reacts to touch
Taste - The mouth is the most sensitive and loves sweets
Smell - Developed
Habitation - baby will get used to repetitive stimuli
Define the first period of reactivity for a newborn - ----
Answers---is within the first 30 mins after birth
Define the period of inactivity for a newborn - ----Answers---
= this kid isn't waking up for anything frm 60 - 100 mins (1-
2hrs) all vitals decrease
Define the Second period of reactivity for a newborn - ----
Answers---get more mucus at this time. Lasts 2 - 8 hours
Define MAS
(Meconium Aspiration Syndrome) - ----Answers---Meconium
passage in utero is seen in term, post-term infants, cord
complications, and growth restriction
Occurs due to hypoxia
,8% to 20% of newborns are exposed to amniotic fluid stained
by meconium and of these, 5% to 10% of newborns will develop
MAS
When aspirated before or during birth, meconium can obstruct
the airways causing hypoxia, inflammation, and infection
Can cause Neumonititis
What are some Assessment findings for MAS? - ----Answers-
--Meconium - stained amniotic fluid (Greenish)
Meconium visualized below the vocal cords
Greenish or yellowish discoloration of the skin, nail beds, and
umbilical cord
Low Apgar scores
Signs of respiratory distress
** Don't stimulate baby
What Nursing actions do we take if a child has MAS? - ----
Answers---sessment of neonate (Respiratory distress,
cyanosis, discoloration of skin)
Administer oxygen as ordered
Maintain pulse oximetry
Assist with suctioning if warranted
Monitor blood glucose as ordered
Maintain a neutral thermal environment
Inform parents of condition
, What are the doctors responsibilities for a newborn with MAS?
- ----Answers---Suctioning both the orno pharnx and
trachopharnx
May do arterial blood gasses or chest X ray, Blood Glucose
monitoring, O2 therapy, Surfactant Therapy, and antibiotics to
treat the pneumonia
Define TTNB - ----Answers---Transient Tachypena of the
Newborn
Mild, Self limiting disorder of term and near-term infants
lasting 12 to greater than 72 hours
Fluid filled lungs that is more commonly seen in Cesarean
births, prolonged labor, and macrosomia
What are some Symptoms of TTNB?
What are some actions that a nurse would take - ----
Answers---Retractions ; Grunting; Cyanosis
Administering oxygen as warranted
Ensuring warmth
Observing respiratory status
Understanding that this is a benign condition and time will
allow fluid to be removed
Define Hypoglycemia in a newborn - ----Answers---Common
in large for gestation age (LGA) babies, diabetic mothers,
small for gestational age (SGA) babies, and preterm babies