APAR Flashcards
(65 cards)
What are 4 pre-birth questions to ask?
- What is expected gestational age
- Is the amniotic fluid clear
- How many babies are expected
- Are there any additional risk factors
What are 3 questions to ask with baby birth?
- Does the baby appear term
- Is the baby breathing or crying
- Is there good muscle tone
If yes to birth questions what’s next?
initial steps can be performed on mother’s chest
If no to birth questions what’s next?
initial steps, ventilation, chest compressions, admin of epi/volume expanders
Who created the APGAR score?
Dr. Virginia Apagar in 1952
What does the APGAR score access?
newborn transition from the womb to the outside
What does APGAR stand for?
A- Activity (muscle tone) P- Pulse G- Grimace (reflex irritability) A- Appearance R- Respiratory
What is the assessment for activity 0-2
absent, flexed arms and legs, active
What is the assessment for pulse 0-2
absent, <100rpm, >100rpm
What is the assessment for grimace 0-2
floppy, minimal response to stimulation, prompt response
What is the assessment for appearance 0-2
blue;pale, pink body blue extremities, pink
What is the assessment for respiratory 0-2
absent, slow and irregular, vigorous cry
What is the scoring for APGAR?
0-3 extremely depressed, 4-6 moderately depressed, 7-10 excellent condition
What age is border of viability?
22 to <25wks
What age is considered pre-mature?
born before <37 wks gestation alive
What is considered term?
37-41 wks
WHO says a induction or cesarean birth shouldn’t be done when?
<39 wks
What is the leading cause of death?
premature birth complications
IVH is treated how?
antenatal steroIds prophylaxis
What is the most severe IVH?
Grade III, IV
Where does the bleeding occur in IVH?
germinal matrix
What can ROP lead to?
retinal detachment and blindness
Leading cause of blindness in developing countries?
ROP
What babies are at high risk for ROP?
<30 wks or <1500g
