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Maternal & Newborn Health - Newborn - 4584

Incorrect
Correct Answer(s): C

A. Heart rate, cyanosis, and edema

[1%]

B. Heart rate, seizure activity, respiratory effort

[1%]

C. Irritability, heart rate, respiratory effort, muscle tone, and color

[97%]

D. Reflex, respiratory rate, and bleeding

[1%]

Statistics

Difficulty level - Easy
97%of peers got it right
Time taken - 4 s

Subject/Lesson

  • Subject

    Maternal & Newborn Health
  • Lesson

    Newborn

Client Need

  • Test Plan

    Health Promotion and Maintenance
  • Related Topic

    Ante/Intra/Postpartum and Newborn Care

Item Type

  • Item Type

    Knowledge/Comprehension
Explanation

Choice C is correct. The APGAR score is a systematic method of assessing a newborn’s physical condition at birth. It is used to determine the newborn’s heart rate, muscle tone, response to stimuli, and color rating by assigning a score of 0 to 2 for each category. The newborn is assessed 1 minute after birth and again at 5 minutes after birth. A score between 7 and 10 indicates that the newborn is adjusting to extrauterine life. A score below 7 indicates that medical or nursing interventions may be needed to improve the newborn’s cardiorespiratory status. If the 5 minute APGAR score is below 7, the newborn should be assessed every 5 minutes until the count is 7 or higher.

Choice A is incorrect. Assessment for edema is not part of the APGAR scoring system.

Choice B is incorrect. Seizure activity is not part of the APGAR scoring system.

Choice D is incorrect. Bleeding assessment is not part of the APGAR scoring system.

NCSBN Client Need Topic: Safe and Effective Care Environment, Subtopic: Safety and Infection Control, APGAR Score

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Last Updated - 18 Jan 2024