The Apgar score is a scoring system doctors and nurses use to assess newborns one minute and five minutes after they’re born. Show Dr. Virginia Apgar created the system in 1952, and used her name as a mnemonic for each of the five categories that a person will score. Since that time, medical professionals across the world have used the scoring system to assess newborns in their first moments of life. Medical professionals use this assessment to quickly relay the status of a newborn’s overall condition. Low Apgar scores may indicate the baby needs special care, such as extra help with their breathing. Usually after birth, a nurse or doctor may announce the Apgar scores to the labor room. This lets all present medical personnel know how a baby is doing, even if some of the medical personnel are tending to the mom. When a parent hears these numbers, they should know they’re one of many different assessments medical providers will use. Other examples include heart rate monitoring and umbilical artery blood gases. However, assigning an Apgar score is a quick way to help others understand the baby’s condition immediately after birth. 14.The nurse is assessing a newborn immediately after birth. After assigning the first Apgar scoreof 9, the nurse notes two vessels in the umbilical cord. What is the nurse’s next action?a.Assess for other abnormalities of the infant.b.Note the assessment finding in the infant’s chart.c.Notify the health care provider of the assessment finding.d.Call for the neonatal resuscitation team to attend the infant immediately.ANS: AThe normal finding in the umbilical cord is two arteries and one vein. Two vessels mayindicate other fetal anomalies. Notation of the finding is the appropriate next step when thefinding is expected. The health care provider will need to be notified; however, the infant isthe nurse’s primary concern and must be assessed for abnormalities first. The initial Apgarscore is 9, indicating no signs of distress or need of resuscitation. DIF:Cognitive Level: ApplicationOBJ:Nursing Process Step: AssessmentMSC: Patient Needs: Health Promotion and Maintenance15.A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is the nurse’sbest response?  DIF:Cognitive Level: ApplicationOBJ:Nursing Process Step: ImplementationMSC: Patient Needs: Health Promotion and MaintenanceMULTIPLE RESPONSE1.Which physical characteristics decrease as the fetus nears term? (Select all that apply.) DIF:Cognitive Level: ApplicationOBJ:Nursing Process Step: AssessmentMSC: Patient Needs: Health Promotion and Maintenance: Techniques of Physical Assessment 15.The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score of 9, thenurse notes two vessels in its umbilical cord. What is the nurse’s next action?a.Assess for other abnormalities of the infant. We have textbook solutions for you!The document you are viewing contains questions related to this textbook. Human Heredity: Principles and Issues Cummings Expert Verified 9/1/2017Chapter 06: Conception and Prenatal Development | Nursing Test Banksb.Note the assessment finding in the infant’s chart.c.Notify the health care provider of the assessment finding.d.Call for the neonatal resuscitation team to attend the infant immediately.ANS: AThe normal finding in the umbilical cord is two arteries and one vein. Two vessels may indicate other fetalanomalies. Notation of the finding is the appropriate next step when the finding is expected. The health careprovider will need to be notified; however, the infant is the nurse’s primary concern and must be assessedfor abnormalities first. The initial Apgar score is 9, indicating no signs of distress or need of resuscitation.PTS: 1 DIF: Cognitive Level: Application REF: 86OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance16.A pregnant client asks the nurse how her baby gets oxygen to breathe. What is the nurse’s best response? 9/1/2017Chapter 06: Conception and Prenatal Development | Nursing Test Bankslead to increased carbon dioxide retention and dizziness. The patient is asking a normal fetal developmentalquestion often asked by pregnant women. Fetal lungs reach maturity by 37 weeks of gestation, but fetalbreathing movements are common. Oxygen transport across lung tissue occurs with the first breath.PTS: 1 DIF: Cognitive Level: Application REF: 86OBJ: Nursing Process Step: ImplementationMSC: Client Needs: Health Promotion and MaintenanceMULTIPLE RESPONSE17.Which physical characteristics decrease as the fetus nears term?(Select all that apply.) 12/17PTS: 1 DIF: Cognitive Level: Application REF: 84OBJ: Nursing Process Step: AssessmentMSC: Client Needs: Health Promotion and Maintenance/Techniques of Physical Assessment At what time after birth is the Apgar score calculated?Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. In rare cases, the test will be done 10 minutes after birth.
Which of the following Apgar score should you assign to this newborn?Which of the following Apgar scores should the nurse assign the newborn? Rationale: The nurse should score the newborn 2 for heart rate of 120/min, 1 for rest effort (slow/weak cry), 0 for muscle tone (flaccid), 1 for reflex irritability (grimace), & 0 for color.
What is the Apgar score for the newborn quizlet?What is the Apgar score? The Apgar score describes the condition of the new- born infant immediately after birth, and when properly applied, is a tool for standardized assessment. It also provides a mechanism to record fetal- to-neonatal transition. You just studied 32 terms!
At what Apgar score at 5 minutes after birth should resuscitation be initiated?The score is recorded at 1 minute and 5 minutes in all infants with expanded recording at 5-minute intervals for infants who score seven or less at 5 minutes, and in those requiring resuscitation as a method for monitoring response. Scores of 7 to 10 are considered reassuring.
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The nurse is assessing a newborn immediately after birth to assign an Apgar score
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