NUR 238 - Exam 3 Study Guide Flashcards
What are the indicators for a 0 on the APGAR scale?
- HR: Absent
- RR: Absent
- Muscle Tone: Flaccid
- Reflex Irritability: Non-Reactive
- Skin Color: Blue
What are the indicators for a 1 on the APGAR scale?
- HR: <100
- RR: Slow, irregular, weak cry
- Muscle Tone: Some flexion
- Reflex Irritability: Weak cry and grimace
- Skin Color: Acrocyanosis
What are the indicators for a 2 on the APGAR scale?
- HR: >100
- RR: Good, vigorous cry
- Muscle Tone: Good flexion, active motion
- Reflex Irritability: Vigorous cry, cough, sneeze
- Skin Color: Pink
What do the different APGAR scores indicate?
- 8-10: Well
- 4-7: Mild-Moderate Distress
- 0-3: Severe Distress
What is the average weight for a newborn?
7.5 lbs
What is the weight loss average within the first 3-4 days?
10%
What is the average weight gain for a newborn from week 1 to 6 months?
7oz/week.
What is the weight threshold for low birth weights?
< 5.5 lbs
What is the weight threshold for being Large for Gestational Age (LGA)?
> 9 lbs
What are the 5 factors that constitute an APGAR score?
- HR
- RR
- Muscle Tone
- Reflex Irritability
- Skin Color
What are the ranges that can indicate neurological impairment?
- > 37 cm
- < 33 cm
What does a head circumference of > 37 cm indicate?
- Hydrocephalus
- Excessive cerebral fluid within the brain cavity
What does a head circumference of < 33 cm indicate?
- Microcephaly
- Abnormally small head
What are Anterior Fontanels and when do they close?
- Diamond-shaped (~5cm)
- Closes by 12-18 months
What are Posterior Fontanels and when do they close?
- Smaller, Triangle-Shaped
- Closes by 3 months
What do Bulging Fontanels indicate?
- Increased intracranial pressure
- Infection
- Hemorrhage
What do Depressed Fontanels indicate?
Dehydration
What is a normal occurrence from head compression during labor?
Sutures being palpable, separated, and/or overlapping.
What is Caput Succedaneum?
Localized swelling of soft tissues of scalp caused by pressure on head during labor.
What is Cephalohemotoma?
- Collection of blood between the periosteum and skill bone that it covers
- Does NOT cross suture line
To prevent gonorrhea and chlamydia of the eyes, what is applied?
- Prophylactic ophthalmic ointment
- Erythromycin
