NARM Exam
Normal Newborn Heart Rate - answer110-150 bpm
Apgar scale - answer appearance, pulse, grimace, activity, respiration
Appearance - answer color of skin: red, pink, blue, white
Activity - answer vigorous or limp
How many newborn signs are ranked when doing Apgar? - answer5 signs
What are the 5 signs that are ranked during an Apgar score? - answer heart rate
respirations
reflex response
muscle tone
color
Heart Rate Apgar Score - answer0- absent
1- below 100
2- above 100
Respiration Apgar Score - answer0- absent
1- weak cry
2- strong cry
In practice, the baby does not NEED to cry to be breathing. Always check respirations.
Reflex Response Apgar Score - answer0- absent
1- grimace
2- cough or sneeze
Muscle Tone Apgar Score - answer0- limp
1- some flexion
2- well flexed
Color Apgar Score - answer0- pale/blue
1- body pink, extremities blue
2- all pink
When do you preform an Apgar? - answer1 and 5 minutes
Generally good Apgar appearance - answerpink-red
, breathing well
flexion good
EX: 1 minute Apgar score: Infant is floppy with no tone, is blue, is making no effort to
breathe. The HR is 75 and the baby recoils minimally when stimulated. What is the 1
minute Apgar? (1, 2, 3, or 4) - answerApgar is 2.
Infant has a HR (but it is less than 100) so it gets one point. Has some response or
"grimace" but it is minimal, so it gets another point. Otherwise, the baby has apnea, is
completely blue, and is limp - so it gets zero points for breathing, color, and tone.
Head Circumference (HC) - answer32-38 cm (13-15 inches)
Cephalhematoma - answercollection of blood between periosteum and skull bone that it
covers
does not cross suture line
results from trauma during birth
Caput Succedaneum - answerdiffuse edema of the fetal scalp that crosses the suture
lines. reabsorbes within 1 to 3 days
Newborn Assessment of the Neck - answerSupple with full range of motion
Newborn Assessment of the Eyes - answerNo pus or discharge
Redness or tiny hemorrhage is normal
Newborn Assessment of the Ears - answerPosition of ears between eyes and mouth
Low lying ears is a sign of congenital abnormalities
Newborn Assessment of the Mouth - answerCheck: cleft lip
cleft palate
sucking reflexes
tongue tie
protruding tongue (sign of Down Syndrome)
Newborn Assessment of the Chest - answerCheck respiratory rate
Retractions should not be present
Normal newborn respiration range is - answer40-60
As low as 30 when sleeping
Newborn lungs assessment - answerBreathing sounds should be bilateral and clear; no
grunting
Newborn heart assessment - answerregular rhythm, no abnormalities
Normal Newborn Heart Rate - answer110-150 bpm
Apgar scale - answer appearance, pulse, grimace, activity, respiration
Appearance - answer color of skin: red, pink, blue, white
Activity - answer vigorous or limp
How many newborn signs are ranked when doing Apgar? - answer5 signs
What are the 5 signs that are ranked during an Apgar score? - answer heart rate
respirations
reflex response
muscle tone
color
Heart Rate Apgar Score - answer0- absent
1- below 100
2- above 100
Respiration Apgar Score - answer0- absent
1- weak cry
2- strong cry
In practice, the baby does not NEED to cry to be breathing. Always check respirations.
Reflex Response Apgar Score - answer0- absent
1- grimace
2- cough or sneeze
Muscle Tone Apgar Score - answer0- limp
1- some flexion
2- well flexed
Color Apgar Score - answer0- pale/blue
1- body pink, extremities blue
2- all pink
When do you preform an Apgar? - answer1 and 5 minutes
Generally good Apgar appearance - answerpink-red
, breathing well
flexion good
EX: 1 minute Apgar score: Infant is floppy with no tone, is blue, is making no effort to
breathe. The HR is 75 and the baby recoils minimally when stimulated. What is the 1
minute Apgar? (1, 2, 3, or 4) - answerApgar is 2.
Infant has a HR (but it is less than 100) so it gets one point. Has some response or
"grimace" but it is minimal, so it gets another point. Otherwise, the baby has apnea, is
completely blue, and is limp - so it gets zero points for breathing, color, and tone.
Head Circumference (HC) - answer32-38 cm (13-15 inches)
Cephalhematoma - answercollection of blood between periosteum and skull bone that it
covers
does not cross suture line
results from trauma during birth
Caput Succedaneum - answerdiffuse edema of the fetal scalp that crosses the suture
lines. reabsorbes within 1 to 3 days
Newborn Assessment of the Neck - answerSupple with full range of motion
Newborn Assessment of the Eyes - answerNo pus or discharge
Redness or tiny hemorrhage is normal
Newborn Assessment of the Ears - answerPosition of ears between eyes and mouth
Low lying ears is a sign of congenital abnormalities
Newborn Assessment of the Mouth - answerCheck: cleft lip
cleft palate
sucking reflexes
tongue tie
protruding tongue (sign of Down Syndrome)
Newborn Assessment of the Chest - answerCheck respiratory rate
Retractions should not be present
Normal newborn respiration range is - answer40-60
As low as 30 when sleeping
Newborn lungs assessment - answerBreathing sounds should be bilateral and clear; no
grunting
Newborn heart assessment - answerregular rhythm, no abnormalities
