APGAR and Reflexes NCLEX Nursing Question latest update

APGAR and Reflexes NCLEX Nursing Question NCLEX Nursing Question Quiz  1. You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. What is your patient’s APGAR score?* o A. APGAR 9 o B. APGAR 10 o C. APGAR 8 o D. APGAR 5  2. You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 101, cyanotic body and extremities, no response to stimulation, no flexion of extremities, and strong cry. What is your patient’s APGAR score?* o A. APGAR 4 o B. APGAR 6 o C. APGAR 3 o D. APGAR 2  3. You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient’s APGAR score?* o A. APGAR 5 o B. APGAR 9 o C. APGAR 12 o D. APGAR 6 This study source was downloaded by from CourseH on :52:00 GMT -05:00  4. A newborn's five minute APGAR score is 5. Which of the following nursing interventions will you provide to this newborn?* o A. Routine post-delivery care o B. Continue to monitor and reassess the APGAR score in 10 minutes. o C. Some resuscitation assistance such as oxygen and rubbing baby’s back and reassess APGAR score. o D. Full resuscitation assistance is needed and reassess APGAR score.  5. Regarding the scenario in the question above, when would you reassess the APGAR?* o A. 2 minutes after the previous APGAR assessment o B. 15 minutes after the previous APGAR assessment o C. 5 minutes after the previous APGAR assessment o D. No reassessment of the APGAR score is needed.  6. A newborn's one minute APGAR score is 8. Which of the following nursing interventions will you provide to this newborn?* o A. Routine post-delivery care o B. Full resuscitation assistance is needed and reassess APGAR score o C. Continue to monitor and reassess the APGAR score in 10 minutes o D. Some resuscitation assistance such as oxygen  7. During an assessment of an infant, you note that when the infant's head is turned to the right side, the leg and arm on the right side will extend, while the leg and arm on the left side will flex. You document this as what type of reflex?* o A. Rooting Reflex o B. Sucking Reflex o C. Moro Reflex This study source was downloaded by from CourseH on :52:00 GMT -05:00 o D. Tonic Neck Reflex  8. Select the option below that best describes how to assess the palmar grasp reflex:* o A. Stroke the cheek of the infant and assess if the head turns toward the stimuli. o B. Stroke the sole of the foot starting at the heel to the outward part of the foot and assess if the big toe bends back and the other toes spread out. o C. Hold the infant upright with the legs and feet touching a surface and assess if the infant will move the legs in a stepping motion. o D. Stroke the inside of the infant's hand with an object and assess if the hand closes around the object.  9. You note that when a finger is placed under the toes of a newborn, the toes will curl downward. This is known as the __________?* o A. Babinski reflex o B. Plantar grasp reflex o C. Tonic Neck reflex o D. Step reflex  10. When the Moro Reflex is stimulated in an infant, the infant will _____________the arms with the palms of the hands turned ___________ and then move the arms ___________ the body.* o A. flex, upward, away from o B. extend, upward, back to o C. flex, downward, back to o D. extend, downward, away from  10. When does the sucking reflex in an infant disappear and become voluntary?* o A. 6 months This study source was downloaded by from CourseH on :52:00 GMT -05:00 o B. 2 months o C. 4 months o D. 12 months  11. You note when a 2-month-old is held upright with the legs and feet touching the surface, the infant will appear to be walking on the surface. This reflex is called the?* o A. Bauer Crawling Reflex o B. Push-to-Walk Reflex o C. Babinski Reflex o D. Step Reflex This study source was downloaded by