Ch. 23 Nursing care of the newborn Flashcards
At what times are the APGAR scores taken
1 and 5 minutes after birth
What APGAR score indicates severe distress
0-3
What APGAR score indicates moderate difficulty
4-6
What APGAR score indicates minimal or no difficulty
7-10
Do APGAR scores predict future neurological outcomes
No, but they are useful for describing the newborns transition to the extrauterine environment
What is the characteristic of the 5 signs on the APGAR when they are rated a “0”
HR- absent RR- absent Muscle Tone- Flaccid Reflex- no response Color- Blue/pale
What is the characteristic of the 5 signs on the APGAR when they are rated a “1”
HR- Slow (less than 100) RR- Slow weak cry Muscle tone- Some flexion Reflex- Grimace Color- Body pink w/blue extremities
What is the characteristic of the 5 signs on the APGAR when they are rated a “2”
HR- greater than 100 RR- Good cry Muscle tone- Well flexed Reflex- Cry Color- Completely pink
What is the average birth weight range for a newborn
5.5-8.8lb (2500-4000g)
Define preterm/premature
Born before completion of 37wks
Define late term
Born b/w 34-36wk
Define term
b/w 37wk-42wk
Define postterm
Born after completion of 42wk
What is the installation of prophylactic agent in the eyes of newborn
Erythromycin, to prevent neonatorum (from Chlamydia and gonorrheal infection)
How does phototherapy help reduce levels of unconjugated bilirubin
It uses light energy to change the shape and structure of unconjugated bilirubin and convert it to a molecule that can be excreted
