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Examen

Nurs 133 final exam Questions and Correct Answers the Latest Update and Recommended Version

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What is the apgar scale? -Assessment tool used to assess the newborn at 1 min interval and then again at 5 mins. If less than 7 then continue to assess every 5 mins until newborn is stable APGAR components Respiratory rate, HR, muscle tone, reflex irritability and colour how to calculate an APGAR score Each component is evaluated out of 2 No pulse: 0, less than 100bpm: 1, steady and more than 100bpm: 2 when and why an RN uses APGAR After 1 minute of life Assesses transition to extrauterine life what are the initial physiological needs of a newborn as they transition to extrauterine life and what nursing assessments/interventions would you expect? -Thermoregulation, providing warmth and drying the newborn -Assess and position airway -Palpating suture lines and fontanels in order to assess degree of moulding and any head trauma -Reflexes (rooting-touch side of cheek they will turn their head toward that touch, sucking, grasping etc) -Vitamin K TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us!

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Subido en
24 de octubre de 2024
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2024/2025
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Examen
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Nurs 133 final exam Questions and
Correct Answers the Latest Update and
Recommended Version
What is the apgar scale?

✓ -Assessment tool used to assess the newborn at 1 min interval and then again at 5 mins. If
less than 7 then continue to assess every 5 mins until newborn is stable


APGAR components

✓ Respiratory rate, HR, muscle tone, reflex irritability and colour


how to calculate an APGAR score

✓ Each component is evaluated out of 2
✓ No pulse: 0, less than 100bpm: 1, steady and more than 100bpm: 2


when and why an RN uses APGAR

✓ After 1 minute of life
✓ Assesses transition to extrauterine life


what are the initial physiological needs of a newborn as they transition to extrauterine life

and what nursing assessments/interventions would you expect?

✓ -Thermoregulation, providing warmth and drying the newborn -Assess and position
airway
✓ -Palpating suture lines and fontanels in order to assess degree of moulding and any head
trauma
✓ -Reflexes (rooting-touch side of cheek they will turn their head toward that touch, sucking,
grasping etc)
✓ -Vitamin K


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Palmar grasp reflex and when does it disappear

✓ When stroking a finger inside of baby palm, baby grips finger
✓ Disappears around 4-6 months


Plantar grasp reflex and when does it disappear

✓ when placing a finger under toes, they curl
✓ Disappears around 9 months to 1 year of age


Moro or startle reflex and when does it disappear

✓ When laying infant down or they hear a loud noise, they will extend their arms with palms
facing up
✓ Disappears around 6 months of age


Rooting reflex and when does it disappear

✓ When infants cheek or side of mouth is stroked, the head will turn towards it and open
their mouth in attempt to suck
✓ Disappears around 4 months


Sucking reflex and when does it disappear

✓ When something touches the top of the infant's mouth, they will begin to suck
✓ Disappears around 4 months


Babinski reflex and when does it disappear

✓ When the bottom of the foot is stroked from heel upwards, the big toe dorsiflexes (bends
back) and the other toes fan or spread out
✓ Disappear around 1 year of age


Crawling reflex or bauer crawling reflex and when does it disappear

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✓ When infant is placed on their stomach and pressure (such as a hand) is applied to the
sole of the foot, the infant will attempt to push against the hand and move the arms and
legs in a crawling like motion
✓ Disappears a few weeks or months after birth


Step reflex and when does it disappear

✓ When holding the infant upright with legs and feet touching a surface, the infant will
move the legs like taking steps or walking.
✓ Disappears about 3-4 months of age


Tonic neck reflex or fencing reflex and when does it disappear

✓ When infant's head is turned to a particular side, the leg and arm on that side will extend
while the leg and arm on the opposite side will flex.
✓ Disappears around 4 months of age


Reflexes a baby has transitions into

✓ more deliberate movements


Why are newborns administered Vitamin K?

✓ To prevent hemorrhagic disease


Breastmilk vs formula? Frequency?

✓ -Breast milk is best if possible
✓ -Antibodies
✓ Breast milk 8-12 times a day
✓ Formula every 3-4hrs


How would a new parent know that their baby is getting enough breastmilk or formula?



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