NSG3111 Newborn Assessment – Questions With
Correct Solutions
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Terms in this set (139)
APGAR purpose + timing - Rapid assessment of the newborn’s physiologic
adaptation to extrauterine life.
- It is completed at 1 and 5 minutes after birth and
guides the need for immediate support
APGAR - Scoring areas - Appearance (colour)
- Pulse
- Grimace (reflex irritability)
- Activity (muscle tone)
- Respirations
APGAR - Appearance (colour) Blue or pale colouring scores 0.
Pink body with blue extremities scores 1.
Completely pink scores 2.
,APGAR - Pulse Absent heart rate scores 0.
Heart rate under 100 bpm scores 1.
Heart rate over 100 bpm scores 2.
APGAR - Grimace (reflex irritability) No response to stimulation scores 0.
Grimacing scores 1.
Crying scores 2.
APGAR - Activity Flaccid tone scores 0.
Some flexion scores 1.
Well-flexed, active movement scores 2.
APGAR - Respirations Absent respirations score 0.
Slow or weak cry scores 1.
Strong cry scores 2.
APGAR - Normal Scores 7 or above at 1 and 5 minutes after birth
🫁 Adaptations after Birth - Breathing is initiated by mechanical, sensory, and
Respiratory - Initiation of breathing thermal stimuli at birth
🫁 Adaptations after Birth - - Nose, light
Respiratory - Initiation of breathing - - Cold
What initiates first breath? - Decreased oxygen and increased CO2 after cord
clamping
🫁 Adaptations after Birth - - Large pressure is required to open alveoli and clear
Respiratory - First Breath Mechanics lung fluid
- Crying increases positive pressure and air to the
lungs, which supports alveolar inflation
🫁 Adaptations after Birth - Surfactant reduces surface tension in the alveoli
Respiratory - Role of Surfactant - It is essential for maintaining alveolar stability after
birth.
, 🫁 Adaptations after Birth - Newborns are obligate nose breathers
Respiratory - Nasal breathing - Patent nares are necessary for effective ventilation.
❤️ Adaptations after Birth - Cardiovascular adaptation begins with cord clamping
Cardiovascular - When do and the first breath.
cardiovascular adaptations begins?
❤️ Adaptations after Birth - - The ductus arteriosus, ductus venosus, and foramen
Cardiovascular - Fetal shunt closure ovale close after birth.
- This transition supports separation of pulmonary and
systemic circulation.
❤️ Adaptations after Birth - - Fetal shunt closure increases blood flow to the lungs
Cardiovascular - Oxygenation and liver
Changes - Increases oxygen flow to peripheral tissues
🌍 Transition to Extrauterine Life - The first 6-8 hours of life are marked by predictable
When does this occur? What is it periods of physiologic instability. These changes are
marked by? considered normal.
🌍 Transition to Extrauterine Life - The newborn is quiet and alert
What is the first period of reactivity? - HR gradually decreases from 160-180 to a consistent
baseline of 100-160 beats per minute
- RR irregular and there may nasal flaring, grunting,
audible fine crackles, and retraction of the chest, BUT
it should cease by 1 hr of life
🌍 Transition to Extrauterine Life - The newborn enters a period of deep sleep. Vital
Sleep Period signs stabilize during this phase.
Correct Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (139)
APGAR purpose + timing - Rapid assessment of the newborn’s physiologic
adaptation to extrauterine life.
- It is completed at 1 and 5 minutes after birth and
guides the need for immediate support
APGAR - Scoring areas - Appearance (colour)
- Pulse
- Grimace (reflex irritability)
- Activity (muscle tone)
- Respirations
APGAR - Appearance (colour) Blue or pale colouring scores 0.
Pink body with blue extremities scores 1.
Completely pink scores 2.
,APGAR - Pulse Absent heart rate scores 0.
Heart rate under 100 bpm scores 1.
Heart rate over 100 bpm scores 2.
APGAR - Grimace (reflex irritability) No response to stimulation scores 0.
Grimacing scores 1.
Crying scores 2.
APGAR - Activity Flaccid tone scores 0.
Some flexion scores 1.
Well-flexed, active movement scores 2.
APGAR - Respirations Absent respirations score 0.
Slow or weak cry scores 1.
Strong cry scores 2.
APGAR - Normal Scores 7 or above at 1 and 5 minutes after birth
🫁 Adaptations after Birth - Breathing is initiated by mechanical, sensory, and
Respiratory - Initiation of breathing thermal stimuli at birth
🫁 Adaptations after Birth - - Nose, light
Respiratory - Initiation of breathing - - Cold
What initiates first breath? - Decreased oxygen and increased CO2 after cord
clamping
🫁 Adaptations after Birth - - Large pressure is required to open alveoli and clear
Respiratory - First Breath Mechanics lung fluid
- Crying increases positive pressure and air to the
lungs, which supports alveolar inflation
🫁 Adaptations after Birth - Surfactant reduces surface tension in the alveoli
Respiratory - Role of Surfactant - It is essential for maintaining alveolar stability after
birth.
, 🫁 Adaptations after Birth - Newborns are obligate nose breathers
Respiratory - Nasal breathing - Patent nares are necessary for effective ventilation.
❤️ Adaptations after Birth - Cardiovascular adaptation begins with cord clamping
Cardiovascular - When do and the first breath.
cardiovascular adaptations begins?
❤️ Adaptations after Birth - - The ductus arteriosus, ductus venosus, and foramen
Cardiovascular - Fetal shunt closure ovale close after birth.
- This transition supports separation of pulmonary and
systemic circulation.
❤️ Adaptations after Birth - - Fetal shunt closure increases blood flow to the lungs
Cardiovascular - Oxygenation and liver
Changes - Increases oxygen flow to peripheral tissues
🌍 Transition to Extrauterine Life - The first 6-8 hours of life are marked by predictable
When does this occur? What is it periods of physiologic instability. These changes are
marked by? considered normal.
🌍 Transition to Extrauterine Life - The newborn is quiet and alert
What is the first period of reactivity? - HR gradually decreases from 160-180 to a consistent
baseline of 100-160 beats per minute
- RR irregular and there may nasal flaring, grunting,
audible fine crackles, and retraction of the chest, BUT
it should cease by 1 hr of life
🌍 Transition to Extrauterine Life - The newborn enters a period of deep sleep. Vital
Sleep Period signs stabilize during this phase.
