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1_P_W > Care of newborn > Flashcards

Care of newborn Flashcards

1
Q

APGAR Score

APGAR = infants. GCS = Children

A

A score of 7-10 = normal

4 - 7 may require some resuscitation

Apgar scores of 3 & below requires immediate resuscitation

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2
Q

APGAR
A

A

Appearance (Skin color)
0 (Blue-gray)
1 (Normal, except for extremities)
2 (Normal over entire body)

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3
Q

APGAR
(Pulse)

A

0 - No pulse
1 - Below 100 bpm
2 - ABove 100 bpm

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4
Q

APGAR
Grimace
(Reflex Irritability)

A

0: No response
1: Grimace
2: Sneeze, cough, pulls away

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5
Q

APGAR
Activity (Muscle Tone)

A

0: Absent
1: Arms & Legs Flexed
2: Active Movement

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6
Q

APGAR
Respiration

A

0: Absent
1: Slow, irregular
2: Good, crying

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7
Q
A
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8
Q

What is the normal range for a newborn’s heart rate?

A

120 to 160 beats per minute.

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9
Q

True or False: Newborns can regulate their body temperature effectively.

A

False.

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10
Q

What is the Apgar score used for?

A

To assess the physical condition of a newborn shortly after birth.

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11
Q

Fill in the blank: The first stool passed by a newborn is called _______.

A

meconium.

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12
Q

What is the typical weight range for a newborn at birth?

A

5.5 to 8.8 pounds (2.5 to 4 kg).

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13
Q

What is the primary purpose of skin-to-skin contact immediately after birth?

A

To promote bonding and regulate the newborn’s temperature.

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14
Q

True or False: Breastfeeding should begin within the first hour after birth.

A

True.

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15
Q

What are common signs of newborn distress?

A

Cyanosis, poor feeding, lethargy, and abnormal breathing.

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16
Q

What is jaundice in newborns?

A

A condition characterized by yellowing of the skin and eyes due to high bilirubin levels.

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17
Q

What immunization is typically given to newborns before discharge?

A

Hepatitis B vaccine.

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18
Q

Fill in the blank: Newborns typically lose ______% of their birth weight in the first week.

A

7 to 10.

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19
Q

What is the recommended position for a newborn during sleep?

A

On their back.

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20
Q

True or False: Newborns have fully developed vision at birth.

A

False.

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21
Q

What is the primary role of a registered nurse in newborn care?

A

To monitor the health and developmental needs of the newborn and educate parents.

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22
Q

What should be monitored for signs of infection in newborns?

A

Temperature, feeding patterns, and behavior changes.

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23
Q

What is the significance of the ‘golden hour’ after birth?

A

It refers to the first hour after birth when bonding and breastfeeding are encouraged.

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24
Q

Fill in the blank: Newborns typically exhibit a reflex called the _______ reflex when startled.

A

Moro.

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25
Q

What are the signs of dehydration in a newborn?

A

Fewer wet diapers, dry mouth, and lethargy.

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26
Q

What is the importance of vitamin K for newborns?

A

It helps prevent bleeding disorders.

27
Q

True or False: Newborns can be bathed immediately after birth.

A

False.

28
Q

What is the recommended frequency for feeding a newborn?

A

Every 2 to 3 hours.

29
Q

What is the purpose of a newborn screening test?

A

To detect certain genetic, metabolic, or endocrine disorders early.

30
Q

What is the term for the soft spot on a newborn’s skull?

A

Fontanelle.

31
Q

Fill in the blank: The _______ reflex allows newborns to grasp objects placed in their palms.

A

palmar.

32
Q

What is the recommended duration for exclusive breastfeeding?

A

At least the first 6 months.

33
Q

What should a nurse do if a newborn has a high bilirubin level?

A

Monitor closely and consider phototherapy.

34
Q

True or False: It is safe for newborns to sleep with soft bedding.

A

False.

35
Q

What does APGAR stand for?

A

Apgar is an acronym for Appearance, Pulse, Grimace, Activity, and Respiration.

36
Q

What is the purpose of the APGAR score?

A

The APGAR score is used to assess the health of a newborn immediately after birth.

37
Q

True or False: The APGAR score is assessed at 1 and 5 minutes after birth.

A

True.

38
Q

Fill in the blank: A score of ___ or higher on the APGAR scale is generally considered normal.

A

7

39
Q

What score indicates a need for immediate medical intervention?

A

A score of 3 or lower.

40
Q

Which APGAR component assesses skin color?

A

Appearance.

41
Q

Multiple Choice: Which of the following is NOT part of the APGAR assessment? A) Pulse B) Reflexes C) Temperature D) Respiration

A

C) Temperature.

42
Q

What is the maximum score a newborn can achieve on the APGAR scale?

A

10.

43
Q

True or False: A newborn with a score of 4 requires resuscitation.

A

True.

44
Q

What nursing action is indicated for a newborn with a low APGAR score?

A

Provide immediate resuscitation if necessary.

45
Q

Fill in the blank: The ___ component of APGAR measures the heart rate of the newborn.

A

Pulse.

46
Q

What does a grimace response indicate in the APGAR assessment?

A

It indicates the newborn’s reflex response to stimuli.

47
Q

Multiple Choice: Which of the following would score a 0 in the ‘Activity’ category? A) Active movement B) Some flexion of extremities C) None D) Flexed posture

A

C) None.

48
Q

What is the significance of the APGAR score at the 5-minute mark?

A

It helps to assess the effectiveness of resuscitation efforts and the newborn’s transition to extrauterine life.

49
Q

True or False: A newborn’s APGAR score can improve between the 1-minute and 5-minute assessments.

A

True.

50
Q

What nursing management should be performed for a newborn with an APGAR score of 6?

A

Monitor closely and provide supportive care.

51
Q

Fill in the blank: The ___ component of APGAR evaluates the newborn’s breathing effort.

A

Respiration.

52
Q

What is an abnormal finding in the ‘Appearance’ category of the APGAR score?

A

Cyanosis or pallor.

53
Q

Multiple Choice: A newborn scoring a 2 in the ‘Pulse’ category has a heart rate of: A) 0 B) Below 100 C) Above 100 D) Irregular

A

C) Above 100.

54
Q

What nursing intervention is appropriate for a newborn with an APGAR score of 5?

A

Provide stimulation and reassess in a few minutes.

55
Q

True or False: The APGAR score is used to predict long-term health outcomes for newborns.

A

False.

56
Q

What is the first step in nursing management for a newborn with a low APGAR score?

A

Ensure a clear airway.

57
Q

Fill in the blank: A score of ___ in the ‘Grimace’ category indicates no response to stimuli.

A

0

58
Q

Multiple Choice: Which APGAR score would indicate the best condition? A) 3 B) 5 C) 8 D) 10

A

D) 10.

59
Q

What does a score of 1 in the ‘Respiration’ category indicate?

A

Weak or irregular breathing.

60
Q

True or False: The APGAR score is only relevant for the first few hours after birth.

A

True.

61
Q

What action should be taken if a newborn’s APGAR score does not improve?

A

Initiate advanced resuscitation protocols.

62
Q

Fill in the blank: The APGAR assessment is performed at ___ and ___ minutes after birth.

A

1; 5

63
Q

What is the role of nursing staff during the APGAR assessment?

A

To perform the assessment and document the scores accurately.

64
Q

Multiple Choice: Which score indicates that the newborn is in distress? A) 7 B) 4 C) 8 D) 10

A

B) 4.

1_P_W (12 decks)

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