Quiz 1 Pediatric Phys Exam Flashcards
The APGAR Score assess _____ from birth and ____ to extrauterine life.
- -Neurologic recovery
- -Immediate adaptation
At what times should an APGAR Score be done at?
1 and 5 minutes
What are the 5 components of an APGAR Score?
Activity (muscle tone) Pulse (heart rate) Grimace (reflex irritability) Appearance (color) Respirations (respiratory effort)
What is a total APGAR Score out of?
10/10
What are the APGAR Scores for Heart Rate?
0 = absent 1 = <100 2 = >100
What are the APGAR Scores for Respiratory effort?
0 = absent 1 = Slow and irregular 2 = easy, good crying
What are the APGAR Scores for Muscle tone?
0 = limp/flaccid 1 = some flexion of extremities 2 = active motion
What are the APGAR Scores for Reflex irritability?
0 = no response 1 = grimace 2 = vigorous cry
What are the APGAR Scores for Color?
0 = blue/pale 1 = acrocyanosis 2 = pink
What is a normal APGAR Score for a 1-minute APGAR Score?
8-10
What 1-minute APGAR Score indicates some nervous system depression?
5-7
What 1-minute APGAR Score indicates severe depression, requiring immediate resuscitation?
0-4
What is a normal 5-minute APGAR Score?
8-10
What 5-minute APGAR Score indicates organ/system failure?
0-7
What scoring system estimates gestational age based on specific neuromuscular signs and physical characteristics?
Ballard Scoring System
What are the Ballard Scores for:
- -Preterm
- -Term
- -Postterm
Preterm = <37 weeks Term = 37-42 weeks Postterm = > 42 weeks
What is birthweight for the following classifications?
- -Low birth weight
- -Normal birth weight
LBW = < 2500g NBW = > 2500g
What percentile is associated w/ the following Newborn Classifications?
- -Small for gestational age
- -Appropriate for gestational age
- -Larger for gestation age
SGA < 10th percentile
AGA = 10-90th percentile
LGA > 90th percentile
What is a discuss of a preterm AGA infants?
Maternal smoking is big cause
LGA infants may present w/ what pathologies shortly after birth?
Metabolic abnormalities
What is a risk factor for LGA infants?
Maternal diabetes