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Exam
Review APGAR, fontanels, birthmarks, normal and abnormal findings, jaundice,
reflexes, and complications. (73 cards)
1
Q
What is an APGAR assessment?
A
It is done on the newborn at 1 minute and 5 minutes after birth to assess for
immediate complications.
It is done more often if there are complications.
2
Q
What is the highest and best score a newborn can get for an APGAR score?
A
10
Many newborns get a 9 due to cyanotic feet or hands.
3
Q
What are the 5 categories of an APGAR assessment?
A
1. Appearance/skin color
2. Pulse
3. Grimace/response to stimulation
4. Activity/muscle tone
5. Respiration effort
,4
Q
What is the possible score for each APGAR category?
A
The newborn can be assigned a 0, 1 or 2 for each category of APGAR.
0 is the worst score
2 is the best score
5
Q
What is the scoring for APGAR Activity/muscle tone?
A
0 = flaccid/limp
1 = minimal flexion
2 = good flexion/active (sneezes or coughs)
6
Q
What is the scoring for APGAR Pulse?
A
0 = absent
1 = < 100 beats/minute
2 = >100 beats/minute
7
Q
What is the scoring for APGAR Grimace/response to stimulation?
A
0 = absent
1 = grimace to suction or slap on soles of feet
2 = responds promptly with cry or active movement
, 8
Q
What is the scoring for APGAR Appearance/skin color?
A
0 = pallor or cyanosis (blue color)
1 = cyanotic extremities
2 = all normal color / pink
9
Q
What is the scoring for APGAR Respiration effort?
A
0 = absent
1 = slow and weak
2 = vigorous cry and respirations between 30 - 60
10
Q
What are the 3 interventions immediately following the birth of a newborn?
A
1. suction mouth and nares with a bulb syringe
2. dry the newborn and stimulate crying by rubbing the back
3. put baby under a warmer or skin-to-skin contact with woman