NUR 238 - Exam 3 Study Guide Flashcards

1
Q

What are the indicators for a 0 on the APGAR scale?

A
  • HR: Absent
  • RR: Absent
  • Muscle Tone: Flaccid
  • Reflex Irritability: Non-Reactive
  • Skin Color: Blue
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2
Q

What are the indicators for a 1 on the APGAR scale?

A
  • HR: <100
  • RR: Slow, irregular, weak cry
  • Muscle Tone: Some flexion
  • Reflex Irritability: Weak cry and grimace
  • Skin Color: Acrocyanosis
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3
Q

What are the indicators for a 2 on the APGAR scale?

A
  • HR: >100
  • RR: Good, vigorous cry
  • Muscle Tone: Good flexion, active motion
  • Reflex Irritability: Vigorous cry, cough, sneeze
  • Skin Color: Pink
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4
Q

What do the different APGAR scores indicate?

A
  • 8-10: Well
  • 4-7: Mild-Moderate Distress
  • 0-3: Severe Distress
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5
Q

What is the average weight for a newborn?

A

7.5 lbs

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6
Q

What is the weight loss average within the first 3-4 days?

A

10%

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7
Q

What is the average weight gain for a newborn from week 1 to 6 months?

A

7oz/week.

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8
Q

What is the weight threshold for low birth weights?

A

< 5.5 lbs

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9
Q

What is the weight threshold for being Large for Gestational Age (LGA)?

A

> 9 lbs

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10
Q

What are the 5 factors that constitute an APGAR score?

A
  • HR
  • RR
  • Muscle Tone
  • Reflex Irritability
  • Skin Color
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11
Q

What are the ranges that can indicate neurological impairment?

A
  • > 37 cm

- < 33 cm

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12
Q

What does a head circumference of > 37 cm indicate?

A
  • Hydrocephalus

- Excessive cerebral fluid within the brain cavity

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13
Q

What does a head circumference of < 33 cm indicate?

A
  • Microcephaly

- Abnormally small head

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14
Q

What are Anterior Fontanels and when do they close?

A
  • Diamond-shaped (~5cm)

- Closes by 12-18 months

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15
Q

What are Posterior Fontanels and when do they close?

A
  • Smaller, Triangle-Shaped

- Closes by 3 months

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16
Q

What do Bulging Fontanels indicate?

A
  • Increased intracranial pressure
  • Infection
  • Hemorrhage
17
Q

What do Depressed Fontanels indicate?

A

Dehydration

18
Q

What is a normal occurrence from head compression during labor?

A

Sutures being palpable, separated, and/or overlapping.

19
Q

What is Caput Succedaneum?

A

Localized swelling of soft tissues of scalp caused by pressure on head during labor.

20
Q

What is Cephalohemotoma?

A
  • Collection of blood between the periosteum and skill bone that it covers
  • Does NOT cross suture line
21
Q

To prevent gonorrhea and chlamydia of the eyes, what is applied?

A
  • Prophylactic ophthalmic ointment

- Erythromycin