1.01 Immediate Post-partum Assessment Flashcards
(45 cards)
Components of the immediate post-partum assessment
- General appearance
- APGAR score
- Essential intrapartum newborn care
- Vital signs
- Anthropometrics
- Gestational age
Classifies newborn’s neurologic recovery from stress of birth
APGAR score
Components of APGAR score
Appearance Pulse Grimace Activity Respiration
T/F. APGAR score indicates the NEED for resuscitation
F. It indicates EFFECTIVE neonatal resuscitation
A heart rate of <100 will have an APGAR score of
1
A good and strong respiration will have an APGAR score of
2
Muscle tone is scored 0 in APGAR score. How do you describe the muscle tone of the newborn.
Flaccid, limp
Muscle tone is scored 1 in APGAR score. How do you describe the muscle tone of the newborn.
Some flexion of the arms and legs
Muscle tone is scored 2 in APGAR score. How do you describe the muscle tone of the newborn.
There is active movement
Grimace on reflex irritability gets an APGAR score of
1
APGAR score of 2 on reflex irritability means
A vigorous cry, sneeze or cough
A blue, pale color will get an APGAR score of
0
A pink color all over will get an APGAR score of
2
APGAR score of 1 under color means
Body is pink but extremities are blue and pale
A 8-10 score on a 1-min APGAR score test means
Normal
A 5-7 score on a 1-min APGAR score test means
Some nervous system depression
A 0-5 score on a 1-min APGAR score test means
Severe depression, requires immediate resuscitation
A 8-10 score on a 5-min APGAR score test means
Normal
A 0-7 score on a 5-min APGAR score test means
High risk for subsequent central nervous system and other organ system dysfunction
4 Components of the essential intrapartum newborn cares (EINC)
- Immediate and thorough drying of the newborn
- Early skin-to-skin contact bet. mother and newborn
- Properly-timed cord clamping and cutting
- Non-separation of mother and NB for early breastfeeding initiation
Most accurate to measure temperature
Rectal temp.
Temperature abnormalities in a NB may indicate
Sepsis, metabolic abnormalit, etc.
Normal RR
40-60 breaths/min
Normal HR
120-160 bpm
