NM705 MODULE 2 UNIT B+C EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
How should the midwife manage Apgar scoring when an infant receives an Apgar
score of 3 at 1-minute and 6 at 5-minutes?
Apgar scoring should continue every 5 minutes until the score is 7 or above, or 20
minutes is reached.
Appearance (Color) Score: 0
Blue/pale over entire body
Appearance (Color) Score: 1
Acrocyanosis
Appearance (Color) Score: 2
Pink
Pulse (Heart Rate) Score: 0
Absent
Pulse (Heart Rate) Score: 1
less than 100
Pulse (Heart Rate) Score: 2
greater than 100
Grimace (Reflex Irritability) Score: 0
No response to stimulation
Grimace (Reflex Irritability) Score: 1
,Weak cry when stimulated
Grimace (Reflex Irritability) Score: 2
Cry or attempt to pull away when stimulated
Activity (Muscle Tone) Score: 0
no movement
Activity (Muscle Tone) Score: 1
some flexion
Activity (Muscle Tone) Score: 2
flexed extremities
Respirations (Respiratory Efforts) Score: 0
absent respirations
Respirations (Respiratory Efforts) Score: 1
weak, irregular, gasping
Respirations (Respiratory Efforts) Score: 2
strong cry
What is a common misconception about the purpose of the Apgar score?
it is an indicator of resuscitation success not a detector of perinatal asphyxia
What is the purpose of the APGAR score?
a measure of how well the newborn is adapting to extrauterine life
Normal newborn heart rate
100-160 bpm
Where might a normal physiological murmur be heard on a newborn within the
first 12 hours of life?
, left sternal border before the ductus arteriosus closes
It may be normal for the newborn HR to rise with:
crying or activity
It may be normal for the newborn HR to drop with:
deep sleep, vagal stimulation (yawning, stooling, suctioning)
Normal newborn respiratory rate
40-60 BrPM
Respiratory abnormalities that may be normal:
occasional rales
apnea for less than 15 seconds
irregular rate
brief tachypnea in the first hour
Normal newborn axillary temp
36.5-37.5 C
97.7-99 F
Normal newborn abdominal temp
36-36.5 C
96.8-97.7 F
What is the purpose of the three shunts?
to send highly oxygenated blood from the placenta more directly to the left side of the
fetal heart where it will go directly to the fetal heart muscle, brain and lastly the body
Antepartally what eliminates toxic substances for both mother and baby?
the maternal kidneys and liver
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
How should the midwife manage Apgar scoring when an infant receives an Apgar
score of 3 at 1-minute and 6 at 5-minutes?
Apgar scoring should continue every 5 minutes until the score is 7 or above, or 20
minutes is reached.
Appearance (Color) Score: 0
Blue/pale over entire body
Appearance (Color) Score: 1
Acrocyanosis
Appearance (Color) Score: 2
Pink
Pulse (Heart Rate) Score: 0
Absent
Pulse (Heart Rate) Score: 1
less than 100
Pulse (Heart Rate) Score: 2
greater than 100
Grimace (Reflex Irritability) Score: 0
No response to stimulation
Grimace (Reflex Irritability) Score: 1
,Weak cry when stimulated
Grimace (Reflex Irritability) Score: 2
Cry or attempt to pull away when stimulated
Activity (Muscle Tone) Score: 0
no movement
Activity (Muscle Tone) Score: 1
some flexion
Activity (Muscle Tone) Score: 2
flexed extremities
Respirations (Respiratory Efforts) Score: 0
absent respirations
Respirations (Respiratory Efforts) Score: 1
weak, irregular, gasping
Respirations (Respiratory Efforts) Score: 2
strong cry
What is a common misconception about the purpose of the Apgar score?
it is an indicator of resuscitation success not a detector of perinatal asphyxia
What is the purpose of the APGAR score?
a measure of how well the newborn is adapting to extrauterine life
Normal newborn heart rate
100-160 bpm
Where might a normal physiological murmur be heard on a newborn within the
first 12 hours of life?
, left sternal border before the ductus arteriosus closes
It may be normal for the newborn HR to rise with:
crying or activity
It may be normal for the newborn HR to drop with:
deep sleep, vagal stimulation (yawning, stooling, suctioning)
Normal newborn respiratory rate
40-60 BrPM
Respiratory abnormalities that may be normal:
occasional rales
apnea for less than 15 seconds
irregular rate
brief tachypnea in the first hour
Normal newborn axillary temp
36.5-37.5 C
97.7-99 F
Normal newborn abdominal temp
36-36.5 C
96.8-97.7 F
What is the purpose of the three shunts?
to send highly oxygenated blood from the placenta more directly to the left side of the
fetal heart where it will go directly to the fetal heart muscle, brain and lastly the body
Antepartally what eliminates toxic substances for both mother and baby?
the maternal kidneys and liver
