The AGPAR score is based on which 5 parameters? Show Which measurements were most likely obtained from a normal newborn
born at 38 weeks to a healthy mother with no maternal complications? B. weight = 2500 g, length = 18 inches (46 cm), head circumference = 32 cm, and chest circumference = 30 cm C. weight = 3500 g, length = 20 inches (51 cm), head circumference = 34 cm, and chest circumference = 32 cm D. weight = 4500 g, length = 22 inches (56 cm), head circumference = 36 cm, and chest circumference = 34 cm Recommended textbook solutions
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Essentials of Strength Training and Conditioning4th EditionG Haff, N Triplett 121 solutions Posture: With maturation the newborn are coiled into flexion. If born early or sick (32 weeks or lower) babies will lay passively in extension. 33-34 you get frogging because of mm tone develops caudal to cephalic. Square window: flexibility increases with maturation at the wrist. Wrist angle if inutero their hand will touch forearm (hand and foot get increases ROM because of tuck in-utero). Recoil: straightening arms will recoil into flexion. Popliteal angle decreases as the baby matures because mm get tighter. Scarf sign: (must know) hold baby's head in midline and see how far elbow will go across midline. Without tone it will go way across midline and when tone develops they will not be able to come past midline. Heel to ear shows tone as they mature they can no longer put their legs to their heads. Add up score: Higher the score the higher the maturity. Recommended textbook solutions
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Terms in this set (57)A nurse assigns an Apgar score to a newborn baby at 5 minutes after delivery. Which parameter should the nurse recognize as an abnormal finding? Apical pulse is less than 100 beats per minute A nurse obtains Apgar scores on a newborn at 1 minute after birth. When should the nurse perform the next Apgar score? 5 minutes During an assessment of a newborn, the nurse notes that the head of the baby's right femur slips out of the hip socket. How should the nurse document this finding? Positive Barlow sign A nurse inspects the anus of a newborn. Which of the following findings should be referred immediately to a specialist? Imperforate anus A newborn appears to be in respiratory distress with a respiratory rate of 70 breaths/min, nasal flaring, and intercostal retractions. The newborn has a temperature of 37.2°C (98.9°F;) and a pulse rate of 190 beats/min. What is the normal range for a newborn's heart rate? 120-160 beats/min A mother of a newborn expresses concern to the nurse that her baby's eyes appear blue but both she and the baby's father have brown eyes. How should the nurse respond to the mother's concern? "Permanent eye color will appear about 9 months of age." During examination of a newborn, the nurse touches the upper lip so that the newborn will move the head towards the stimulated area and open the mouth. What reflex is the nurse eliciting from this action? Rooting Which procedure demonstrates correct placement of a tape measure by a nurse when measuring the chest circumference of a 12-month-old infant? Nipple line A nurse assesses a newborn with bruising on the head. How should the nurse document this finding? Ecchymoses A nurse is assessing a 1-month-old infant with a distended abdomen. Which of the following conditions would most likely explain this finding? Pyloric stenosis A client brings in her 5-month-old for a "stuffy nose." While the infant is being examined, the parent states, "Why does my baby still have a hard time holding his head up?" What does the nurse understand about this milestone? The infant should be able to hold the head up without support by 4 months of age. A mother brings her 2-month-old infant to the health care facility with a high temperature. Which action by the nurse demonstrates the proper way to safely measure the rectal temperature in the baby? Insert the thermometer no more than 2 cm into the rectum. A mother visits the clinic with her 2-month-old son for a routine visit. The mother has been bottle feeding the infant and asks the nurse, "When can I start giving him solid foods?" The nurse should instruct the mother that solid foods can be introduced when the infant is 4 to 6 months old. During examination of a newborn, the nurse presses her finger against the newborn's palm and the newborn grasps the finger. What reflex is the nurse eliciting from this action? Palmar A new mother wants to give her baby honey. The nurse tells her that it is potentially dangerous to do this. Why is this practice potentially dangerous? Honey is a known reservoir for the botulism bacterium A group of students is preparing a class presentation on infant sleeping and Sudden Infant Death Syndrome. The presentation would include which of the following? Teach parents about placing the baby on his back to sleep. On inspecting a newborn's breasts, the nurse notes that they are enlarged and engorged, with a white liquid discharge. The infant's mother is concerned about it. Which of the following should the nurse tell the mother regarding this finding? It is due to the influence of the maternal hormones and should resolve in a few days. During examination of a newborn, the nurse strokes the lateral edge and ball of the newborn's foot so that the toes fan. What reflex is the nurse eliciting from this action? Babinski The nurse is performing a routine newborn assessment and gently strokes the cheek of the baby. The newborn turns toward the stroke and opens the mouth. What is this reflex called? Rooting reflex To obtain the most accurate temperature on an infant, a nurse should use which method? Rectal A nurse assesses a newborn and finds a white, cheesy substance on the infant's skin, especially within the folds of the skin. How should the nurse document this finding? Vernix caseosa A nursery nurse is assessing the neurologic status of a newborn. What area would the nurse be assessing? Reflexes A nurse is providing care to a mother and her newborn (12 hours old). The nurse observes a yellowing tint of the newborn's skin. The mother asks, "Is it okay that my baby is yellow?" What is the best response by the nurse? "Yellow skin is common in newborns; it will clear up with ultraviolet light therapy." A nurse auscultates the bowel sounds of a 1-month-old. Which of the following findings should warrant further assessment by the nurse? Presence of marked peristaltic waves A mother brings her 2-month-old to the clinic for a well-baby check-up. The mother expresses concern that the infant is constantly sucking on their hand or any object they can get their hands on. What is the best response by the nurse? "This is a normal developmental activity for an infant." The student nurse reports that the breath sounds of an infant are loud and harsh. How should the nurse best respond? "Breath sounds in infants will be louder and harsher due to a thinner chest wall" A nurse assesses a newborn and finds fine, downy hair all over the newborn's skin. How should the nurse document this finding? Lanugo The nurse learns that a new mother was upset after hearing about being pregnant and did not look forward to the birth of the baby. On what should the nurse focus when assessing the mother and the baby? Emotional attachment The nurse is preparing to inspect a newborn's inner ear with an otoscope. The nurse should pull the pinna Down and Back. A nurse performs, measures, and documents the findings of the initial newborn assessment. Which data should the nurse recognize as an abnormal finding in the newborn? Weight of 2000 g Which action by the nurse demonstrates the correct technique of assessing for the popliteal angle? Flex thigh on top of the abdomen A nurse assesses a newborn of African American descent and observes a bluish-pigmented area on the sacrum. The nurse recognizes this as what type of skin variation? Slate gray nevus Normal breathing pattern for a full-term infant may include abdominal/chest breathing movements at a rate of 30 to 60 breaths/minute. A parent tells the nurse, "Sometimes when the baby won't stop crying, I put a little bit of honey in the warm formula. He seems to like it and it soothes him." What is the primary concern with giving honey to infants? Honey can cause infant botulism. A newborn is being assessed at 1 minute after birth. A score that indicates the newborn is adapting well to the extrauterine environment is in what range? 7 to 10 A nurse is evaluating reflexes in a newborn. The nurse gently strokes the cheek, and the newborn turns toward the stimulus and opens the mouth. What reflex is the nurse testing? Rooting The nurse is assessing a 4-month-old baby. Which observation indicates that the child is developing gross motor skills? Absence of head lag A mother brings her 2-month-old infant to the health care clinic because she has noticed a bulge at the umbilicus that seems to get bigger when the baby cries. That nurse recognizes this as what type of finding? Umbilical hernia The mother of a 9-month-old girl calls the clinic. She tells the nurse that her daughter has developed a rash. The nurse asks a series of questions to assess the rash. Why would it be important for the nurse to ask these questions? Helps pinpoint possible causes A new mother tells the nurse that the newborn has a small yellow lesion on the hard palate of the mouth and is worried about the baby's ability to suck properly. What should the nurse tell the mother about this finding? "This is common and will disappear within the first few weeks." Which action by the nurse demonstrates the correct technique to elicit Ortolani's maneuver? Abduct the legs and move the knees outward On assessing a newborn, a nurse observes a separation of the abdominal muscles. That nurse recognizes the underlying case of this condition is which of the following? Immature abdominal muscles When performing an assessment of a 2-month-old infant, the nurse turns the baby's head to the side while the infant is supine. The arm and leg extend on the side to which the face is pointed. The contralateral arm and leg flex, forming the classic fencing position. What is the name of this reflex? Tonic neck reflex While assessing a newborn infant, the nurse observes yellow-white retention cysts in the newborn's mouth. The nurse should explain to the infant's parents that these spots are usually indicative of Epstein pearls. A nurse performs an Apgar assessment on a newborn at 1 minute with a score of 7 and at 5 minutes with a score of 10. What action should the nurse take? Epstein pearls. The Moro reflex is a response to sudden stimulation or an abrupt change in position. The mother of a newborn has struggled to effectively breastfeed her daughter. The mother has received instruction from a lactation specialist on proper breastfeeding techniques, but the baby will not latch on. She has decided to bottle feed the baby at least for now. Also, when assessing the infant's musculoskeletal system, the nurse found unequal gluteal folds and limited hip abduction. Which of the following should be the priority nursing conclusion? RC: Hip displacement What should a nurse keep in mind when palpating for the testes in a male infant? Touch or cold may pull the testicles back into the inguinal canal Which action by the nurse demonstrates the correct technique to assess the anus? Spread the buttocks with gloved hands. How should a nurse test visual acuity in an infant of 6 weeks of age? Watch to see if the infant can follow a moving object A mother of a newborn expresses concern that the anterior fontanelle is palpable when the newborn cries. What is the best response by the nurse? "The anterior fontanelle will close between 12 and 18 months." A nurse auscultates the chest of a newborn. The nurse hears breath sounds that are loud and harsh. Which of the following does this finding most likely indicate? Normal
The nurse is assessing a 1-year-old infant who weighed 3.6 kg (8 lb) at birth. When the nurse prepares to weigh the infant, the nurse anticipates that this infant should weigh approximately 10.8 kg (24 lb). The nurse notes that a sleeping newborn's heart rate is 102 bpm. What action should the nurse take first? Document the heart rate A nurse checks a newborn for the Scarf sign. What should the nurse see if the newborn is full term? Elbow position is less than midline of chest During a physical examination a 4-month old baby begins to cry. Which assessment finding should the nurse expect at this time? bulging anterior fontanelle A nurse midwife is making a well-baby visit for a 5-month-old infant. The nurse determines delayed development when which of the following is observed? The infant lacks head control. Sets found in the same folder312 Medical Terminology275 terms abbyeb2020Plus Chapter 24: Assessing Musculoskeletal Sy…60 terms Dragon_InstallPlus Chapter 25: Assessing Neurologic System…66 terms Dragon_InstallPlus Chapter 29: Assessing Childbearing Women - ML458 terms Dragon_InstallPlus Other sets by this creatorChapter 11: Assessing Culture70 terms Dragon_InstallPlus Pathophysiology Cornell Notes 2 - Exam 4120 terms Dragon_InstallPlus Pathophysiology Cornell Notes 1 - Exam 4 (fixed)107 terms Dragon_InstallPlus NUR315 Ch 16 Vocab Quiz13 terms Dragon_InstallPlus Verified questions
engineering The machine part shown in Figure P5.73 is 10-mm thick, is made of AISI 1020 cold-rolled steel (see Appendix D for properties), and is subjected to a tensile load of $P=45 \mathrm{kN}$. Determine the minimum radius $r$ that can be used between the two sections if a factor of safety of 2 with respect to failure by yield is specified. Round the minimum fillet radius up to the nearest 1-mm multiple. Verified answer
chemistry Complese each starement using a word $(5)$ from the vocabulary list above. The amount of energy that a wave carries past a certain area each second is the $\underline{\phantom{\text{The horse .}}}$ Verified answer
chemistry Calcium carbonate is used in some antacid preparations to neutralize the hydrochloric acid in the stomach. Write the equation for this neutralization. Verified answer
chemistry Arrange the following isoelectronic species in order of increasing ionization energy: $\mathrm{O}^{2-}, \mathrm{F}^{-}, \mathrm{Na}^{+}, \mathrm{Mg}^{2+}$. Verified answer Other Quizlet setsAP Psych Unit 5: Language Development, Problem Sol…17 terms quinnfoley6787245 PTA 10 quizzes second half21 terms Tami_Mclaren2Plus Antibiotics Application Questions37 terms Alyson_Furstenau Chapter 2 BSHM 14127 terms M_angel07 Which of the following parameters are measured in determining an Apgar score?The Apgar score comprises five components: 1) color, 2) heart rate, 3) reflexes, 4) muscle tone, and 5) respiration, each of which is given a score of 0, 1, or 2.
What is an Apgar score list the assessment parameters quizlet?minutes after birth. The five parameters of the APGAR score include: heart rate, respiratory effort, muscle tone, reflex irritability, and color.
Which is the Apgar score of a newborn in severe distress quizlet?-A combined Apgar score of 7 or better indicates that the infant is in good physical condition. -If the score is between 4 and 6, the baby requires assistance in establishing breathing and other vital signs. -If the score is 3 or below, the infant is in serious danger and requires emergency medical attention.
Which assessments are included in evaluating a newborn using the Apgar scoring system quizlet?Apgar score includes assessment of heart rate, reflexes, color, respiration, and muscle tone to make a total possible score of 10. Crying is part of the respiratory assessment, but it is not an assessment performed within the Apgar. Meconium present at birth is assessed, but not part of the Apgar scoring system.
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