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[Show more]Immediate care of newborn Establish adequate breathing pattern Suction mouth and nares Dry infant Cut cord Assess HR and Temp APGAR scoring 1 and 5 minutes Identify/safety Skin to skin if stable 
Reasons for newborns temp to fall at birth Heat loss, Temp of birthing room, immature temp- regulating m...
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Add to cartImmediate care of newborn Establish adequate breathing pattern Suction mouth and nares Dry infant Cut cord Assess HR and Temp APGAR scoring 1 and 5 minutes Identify/safety Skin to skin if stable 
Reasons for newborns temp to fall at birth Heat loss, Temp of birthing room, immature temp- regulating m...
What is the cause of molding in the newborn skull? Overlapping of the unfused bones compressed during vaginal delivery 
The nurse is assessing a newborn's vital signs. Which findings require follow-up? Select all that apply. -Axillary temperature 97.5°F (36.4°C) -Apical heart rate 100 beats per m...
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Add to cartWhat is the cause of molding in the newborn skull? Overlapping of the unfused bones compressed during vaginal delivery 
The nurse is assessing a newborn's vital signs. Which findings require follow-up? Select all that apply. -Axillary temperature 97.5°F (36.4°C) -Apical heart rate 100 beats per m...
Within _____ after birth, neurologic, renal, endocrine, gastrointestinal, and metabolic functions must be operating competently for life to be sustained. 24 hours 
How well a newborn makes the major adjustments to sustain life immediately after birth depends on -genetic composition -competency of th...
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Add to cartWithin _____ after birth, neurologic, renal, endocrine, gastrointestinal, and metabolic functions must be operating competently for life to be sustained. 24 hours 
How well a newborn makes the major adjustments to sustain life immediately after birth depends on -genetic composition -competency of th...
A nursing instructor is demonstrating an assessment on a newborn using the Ballard gestational assessment tool. The nurse explains that which of the following tests should be performed after the first hour of birth, when the newborn has had time to recover from the stress of birth? 1. Arm recoil 2. ...
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Add to cartA nursing instructor is demonstrating an assessment on a newborn using the Ballard gestational assessment tool. The nurse explains that which of the following tests should be performed after the first hour of birth, when the newborn has had time to recover from the stress of birth? 1. Arm recoil 2. ...
Skilled observation should begin at _____ and continue frequently during _____ 1) time of birth 2) first 24 hours 
What type of assessments ensures a thorough newborn exam? 1) health history 2) Apgar assessment 3) transitional assessment during the periods of reactivity 4) assessment of gestational ...
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Add to cartSkilled observation should begin at _____ and continue frequently during _____ 1) time of birth 2) first 24 hours 
What type of assessments ensures a thorough newborn exam? 1) health history 2) Apgar assessment 3) transitional assessment during the periods of reactivity 4) assessment of gestational ...
Newborn first 28 days 
Infant 28 days to 1 year old 
History - Mom and Family General health (use of drugs, attitude toward pregnancy, birthing, children, was this a planned pregnancy, infections) pregnancies (gravida - # of pregnancies, para - viable births) 
History - Newborns prenatal care labor/...
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Add to cartNewborn first 28 days 
Infant 28 days to 1 year old 
History - Mom and Family General health (use of drugs, attitude toward pregnancy, birthing, children, was this a planned pregnancy, infections) pregnancies (gravida - # of pregnancies, para - viable births) 
History - Newborns prenatal care labor/...
Adjustment to extrauterine life -establishing and maintaining respirations -adjusting to circulatory changes -regulate temperature -ingesting, retaining and digesting nutrients -eliminating wastes -regulating weight 
stabilization -remember the ABCs -airway clear with adequate respirations -assess c...
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Add to cartAdjustment to extrauterine life -establishing and maintaining respirations -adjusting to circulatory changes -regulate temperature -ingesting, retaining and digesting nutrients -eliminating wastes -regulating weight 
stabilization -remember the ABCs -airway clear with adequate respirations -assess c...
The weight of newborns varies according to their race, genetics, and nutritional factors. 
T or f True 
the average birth weight (50th percentile) for a mature female newborn is 3.4 kg or 7.5 lbs 
the average birth weight (50th percentile) for a mature male newborn is 3.5 kg or 7.5 lbs 
For all race...
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Add to cartThe weight of newborns varies according to their race, genetics, and nutritional factors. 
T or f True 
the average birth weight (50th percentile) for a mature female newborn is 3.4 kg or 7.5 lbs 
the average birth weight (50th percentile) for a mature male newborn is 3.5 kg or 7.5 lbs 
For all race...
when is the first assessment for the newborn performed immediately after birth 
Apgar scale a standard measurement system that looks for a variety of indications of good health in newborns 
Apgar of 7-10 indicate healthy newborn who may only need suctioning of the mouth and nose Apgar or 4-7 indicat...
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Add to cartwhen is the first assessment for the newborn performed immediately after birth 
Apgar scale a standard measurement system that looks for a variety of indications of good health in newborns 
Apgar of 7-10 indicate healthy newborn who may only need suctioning of the mouth and nose Apgar or 4-7 indicat...
Newborn Cardiovascular Adaptation The first breath expands the lungs, decreasing pulmonary vascular resistance Clamping the cord increases systemic vascular resistance & left atrial pressure Changing the atrial pressures functionally closes the foramen ovale almost immediately after birth The increa...
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Add to cartNewborn Cardiovascular Adaptation The first breath expands the lungs, decreasing pulmonary vascular resistance Clamping the cord increases systemic vascular resistance & left atrial pressure Changing the atrial pressures functionally closes the foramen ovale almost immediately after birth The increa...
First assessment (0-2hr post delivery) Initial: Apgar, external (Symmetry!!!), chest rise/fall, abdomen (belly-breathing), neurologic (innate responses), genitourinary (pee/poo) 
Apgar Done at 1-5 minutes. Rarely see a perfect 10. Respiratory rate and Heart rate are usually great, Newborn usually lo...
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Add to cartFirst assessment (0-2hr post delivery) Initial: Apgar, external (Symmetry!!!), chest rise/fall, abdomen (belly-breathing), neurologic (innate responses), genitourinary (pee/poo) 
Apgar Done at 1-5 minutes. Rarely see a perfect 10. Respiratory rate and Heart rate are usually great, Newborn usually lo...
Normal Vital signs and weightTemperature 36.5-37.5 Apical pulse -110-160 (80-100 sleeping, 180 crying) Respirations: 30-60 breaths/min Weight g 
Assessing the HeadHead circumference 33-35 Average 32-36.8 normal variations. Head is a 1/4 of the infant's body. Sutures are palpable will small separati...
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Add to cartNormal Vital signs and weightTemperature 36.5-37.5 Apical pulse -110-160 (80-100 sleeping, 180 crying) Respirations: 30-60 breaths/min Weight g 
Assessing the HeadHead circumference 33-35 Average 32-36.8 normal variations. Head is a 1/4 of the infant's body. Sutures are palpable will small separati...
A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? - administer vitamin k into the newborns thigh 
Other considerations - 1g of vitamin k is given intramuscularly - erythromycin is given 1-2 hours after birth, gi...
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Add to cartA nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? - administer vitamin k into the newborns thigh 
Other considerations - 1g of vitamin k is given intramuscularly - erythromycin is given 1-2 hours after birth, gi...
What is Jaundice? yellow pigmentation of body tissues caused by the presence of bile pigments 
Why do newborns get jaundice? Newborns have an abundance of RBCs and by the 2-3 day of life, serum bilirubin (by-product of RBC catabolism/destruction) levels reach 5-7 mg/dL 
What is difference between ph...
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Add to cartWhat is Jaundice? yellow pigmentation of body tissues caused by the presence of bile pigments 
Why do newborns get jaundice? Newborns have an abundance of RBCs and by the 2-3 day of life, serum bilirubin (by-product of RBC catabolism/destruction) levels reach 5-7 mg/dL 
What is difference between ph...
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? ...
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Add to cartWhen 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? ...
Nursing Assessment of the Newborn includes what? Apgar scoring Vital Signs Infant security Physical Measurements Head-to-Toe Gestational Age 
When are vital signs checked after birth? Right away Every 15 to 30 minutes for the first hour Every 4 hours for the first shift Then just once per shift 
New...
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Add to cartNursing Assessment of the Newborn includes what? Apgar scoring Vital Signs Infant security Physical Measurements Head-to-Toe Gestational Age 
When are vital signs checked after birth? Right away Every 15 to 30 minutes for the first hour Every 4 hours for the first shift Then just once per shift 
New...
What should you do before you perform a newborn exam? - Introduce yourself to the mother's mom and ask permission. - Ask the mother if she has any concerns about the baby. - Give her a realistic idea of when you'll return after reviewing her and bay's charts and examining the baby - Once you're ...
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Add to cartWhat should you do before you perform a newborn exam? - Introduce yourself to the mother's mom and ask permission. - Ask the mother if she has any concerns about the baby. - Give her a realistic idea of when you'll return after reviewing her and bay's charts and examining the baby - Once you're ...
In sequencing a newborn examination, the preferred order is: observation, auscultation, palpation 
In examining a newborn infant, the maneuver that is best done last is the examination of the: hips 
The Bruckner test assess: bilateral red reflex 
The bell of the stethoscope is best at detecting soun...
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Add to cartIn sequencing a newborn examination, the preferred order is: observation, auscultation, palpation 
In examining a newborn infant, the maneuver that is best done last is the examination of the: hips 
The Bruckner test assess: bilateral red reflex 
The bell of the stethoscope is best at detecting soun...
Mother's EDC/EDD - rationale for obtaining Is the baby Term, Preterm, or Post. 
Mother's L&D medications 
a. rationale for knowing the mother's L&D medications Some analgesia & anesthesia may affect the status of the newborn 
Mother's L&D medications 
b. nursing action based on the obtained data...
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Add to cartMother's EDC/EDD - rationale for obtaining Is the baby Term, Preterm, or Post. 
Mother's L&D medications 
a. rationale for knowing the mother's L&D medications Some analgesia & anesthesia may affect the status of the newborn 
Mother's L&D medications 
b. nursing action based on the obtained data...
a typical newborn Flexed Puffy Molded Nose breathers Irregular HR and RR Acrocyanosis Periods of reactivity 
list of red flags in the newborn 1. Respiratory distress 2. Central cyanosis 3. Thermoregulation problems 4. Dehydration 5. Imperforated anus Failure to pass meconium 6. Evidence of neural tu...
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Add to carta typical newborn Flexed Puffy Molded Nose breathers Irregular HR and RR Acrocyanosis Periods of reactivity 
list of red flags in the newborn 1. Respiratory distress 2. Central cyanosis 3. Thermoregulation problems 4. Dehydration 5. Imperforated anus Failure to pass meconium 6. Evidence of neural tu...
Caput succedaneum is a common soft-tissue injury resulting from birth trauma, caused by an accumulation of fluid in the tissue of the scalp; it disappears spontaneously over the first few days of life. This finding does not require measuring or reporting because it is a self-limiting occurrence. Cap...
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Add to cartCaput succedaneum is a common soft-tissue injury resulting from birth trauma, caused by an accumulation of fluid in the tissue of the scalp; it disappears spontaneously over the first few days of life. This finding does not require measuring or reporting because it is a self-limiting occurrence. Cap...
Respiration - 30-60 breath per minute - Shallow, irregular - Periods of apnea ( less than 15 seconds) - Auscultate for 1 min - Obligatory nose breather - excess mucous up to 72h - Suction mouth before nose 
Vital signs Every 30 min for 2 hours 
Heart rate 110-170 bpm -PMI 4th intercostal space to le...
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Add to cartRespiration - 30-60 breath per minute - Shallow, irregular - Periods of apnea ( less than 15 seconds) - Auscultate for 1 min - Obligatory nose breather - excess mucous up to 72h - Suction mouth before nose 
Vital signs Every 30 min for 2 hours 
Heart rate 110-170 bpm -PMI 4th intercostal space to le...
1. A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data? 
a. The nurse should notify the pediatrician stat for this emergency situation. b. The neonate...
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Add to cart1. A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data? 
a. The nurse should notify the pediatrician stat for this emergency situation. b. The neonate...
General cyanosis A finding in a newborn exam that warrants further action: a bluish-purple skin color that could be caused by a lack of O2 being carried by the body's blood cells 
Circumoral cyanosis A finding in a newborn exam that warrants further action: involving bush color surrounding the lips...
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Add to cartGeneral cyanosis A finding in a newborn exam that warrants further action: a bluish-purple skin color that could be caused by a lack of O2 being carried by the body's blood cells 
Circumoral cyanosis A finding in a newborn exam that warrants further action: involving bush color surrounding the lips...
Which question does the nurse ask the provider in the delivery room about Baby Boy Campos to determine the needs for resuscitation in the delivery room? (SATA) a. Is there a good muscle tone? b. What is the infants sex? c. Is the baby breathing? d. Is this a full-term gestation neonate? e.Is there a...
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Add to cartWhich question does the nurse ask the provider in the delivery room about Baby Boy Campos to determine the needs for resuscitation in the delivery room? (SATA) a. Is there a good muscle tone? b. What is the infants sex? c. Is the baby breathing? d. Is this a full-term gestation neonate? e.Is there a...
First breath Initiated by -Cold receptors (stimulate brain for baby to take first breath) -Low PO2 & high PCO2 (clamping of the cord) • 1st time alveoli inflate-high pressure needed 
What removes fluid present in fetal lungs before birth? (birth itself vaginal, squeezing vagina, lung blood vessels...
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Add to cartFirst breath Initiated by -Cold receptors (stimulate brain for baby to take first breath) -Low PO2 & high PCO2 (clamping of the cord) • 1st time alveoli inflate-high pressure needed 
What removes fluid present in fetal lungs before birth? (birth itself vaginal, squeezing vagina, lung blood vessels...
The Golden Minute Once the infant is born we have one minute to do the following: - dry baby while placed on the maternal abdomen for skin to skin - airway: suction mouth and nose (if no spontaneous cry) - breathing: assess respirations and stimulate to breathe (rub back and soles of feet) - circula...
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Add to cartThe Golden Minute Once the infant is born we have one minute to do the following: - dry baby while placed on the maternal abdomen for skin to skin - airway: suction mouth and nose (if no spontaneous cry) - breathing: assess respirations and stimulate to breathe (rub back and soles of feet) - circula...
Things we assess in the neonate posture, head circumference, chest circumference, length, weight, temp, respirations, pulse, blood pressure, skin, head, neck, eyes, ears, nose, mouth, chest/lungs, cardiac, abd, rectum, GU, musculoskeletal, neurological 
Normal Posture extremities are flexed 
Deviati...
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Add to cartThings we assess in the neonate posture, head circumference, chest circumference, length, weight, temp, respirations, pulse, blood pressure, skin, head, neck, eyes, ears, nose, mouth, chest/lungs, cardiac, abd, rectum, GU, musculoskeletal, neurological 
Normal Posture extremities are flexed 
Deviati...
Physiologic Response of Newborn to Birth: 1. What is the most critical extra-uterine adjustment? 2. Circulatory changes after birth occur with the _________ and the __________. 3. The three ______ (______, _____, _______) functionally ______ during a newborns transition to extra-uterine life with th...
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Add to cartPhysiologic Response of Newborn to Birth: 1. What is the most critical extra-uterine adjustment? 2. Circulatory changes after birth occur with the _________ and the __________. 3. The three ______ (______, _____, _______) functionally ______ during a newborns transition to extra-uterine life with th...
the first six hours after birth, in which the newborn is adapting to extra-uterine life. What is neonatal transition? 
it is used to evaluate the physical condition of the newborn at birth. It is completed one minute after birth, and then again at 5 minutes after birth, then receives a total apgar s...
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Add to cartthe first six hours after birth, in which the newborn is adapting to extra-uterine life. What is neonatal transition? 
it is used to evaluate the physical condition of the newborn at birth. It is completed one minute after birth, and then again at 5 minutes after birth, then receives a total apgar s...
Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? 
A) Respiratory rate 45, irregular B) Costal breathing pattern C) Nasal flaring, rate 65 D) Crackles on auscultation A Typically, respirations in a 24-hour-...
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Add to cartPrior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? 
A) Respiratory rate 45, irregular B) Costal breathing pattern C) Nasal flaring, rate 65 D) Crackles on auscultation A Typically, respirations in a 24-hour-...
when assessing the posture, what information should the nurse refer to? Refer to maternal chart for fetal presentation, position, and type of birth, since newborn readily assumes in the utero position. 
When assessing the posture what are average findings for the vertex? Arms, legs in moderate flexi...
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Add to cartwhen assessing the posture, what information should the nurse refer to? Refer to maternal chart for fetal presentation, position, and type of birth, since newborn readily assumes in the utero position. 
When assessing the posture what are average findings for the vertex? Arms, legs in moderate flexi...
When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: 
A. Pulse, respirations, temperature B.Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse, temperature D: This sequence is least disturbing. Touching wit...
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Add to cartWhen performing a newborn assessment, the nurse should measure the vital signs in the following sequence: 
A. Pulse, respirations, temperature B.Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse, temperature D: This sequence is least disturbing. Touching wit...
APGARS and interventions assesment begins immediately after birth assessments of - respirations, crying - reflexes, irritability - heart rate, pulse - color, body and extremeties -tone (muscle tone) 
interventions based upon these assessments to begin immediately Do NOT wait for one minute APGAR to ...
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Add to cartAPGARS and interventions assesment begins immediately after birth assessments of - respirations, crying - reflexes, irritability - heart rate, pulse - color, body and extremeties -tone (muscle tone) 
interventions based upon these assessments to begin immediately Do NOT wait for one minute APGAR to ...
The nurse is assessing baby boy Henry, who is 2 hr old. She notes that Henry's plantar creases cover his entire foot. Based on this information, what does the nurse determine Henry's gestational age to be? 
FULL TERM One to two creases appear at approximately 32 weeks gestation. By 36 weeks gestat...
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Add to cartThe nurse is assessing baby boy Henry, who is 2 hr old. She notes that Henry's plantar creases cover his entire foot. Based on this information, what does the nurse determine Henry's gestational age to be? 
FULL TERM One to two creases appear at approximately 32 weeks gestation. By 36 weeks gestat...
Once the parents have had a chance to spend some time with their baby and the nurse has completed a brief assessment it will be time to do a head-to-toe assessment. The parents can be invited to observe the assessment, which provides a good time for the nurse to provide some early teaching about nor...
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Add to cartOnce the parents have had a chance to spend some time with their baby and the nurse has completed a brief assessment it will be time to do a head-to-toe assessment. The parents can be invited to observe the assessment, which provides a good time for the nurse to provide some early teaching about nor...
The nurse is assessing a newborn right after birth. Which assessment will be most helpful initially in identifying an at-risk newborn? the newborn's APGAR SCORE 
The initial Apgar score will be most helpful to the nurse in determining the newborn's risks because it reveals information about moveme...
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Add to cartThe nurse is assessing a newborn right after birth. Which assessment will be most helpful initially in identifying an at-risk newborn? the newborn's APGAR SCORE 
The initial Apgar score will be most helpful to the nurse in determining the newborn's risks because it reveals information about moveme...
what is APGAR? scale to assess how a baby is reacting to life outside of the uterus that is checked 1 min and then 5 min after birth - score 0-10, 10 perfect babies (rare) 
what does the 1st A in APGAR assess? A - appearance (0-2) or color cyanotic or pale = 0 appropriate body color, but blue extrem...
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Add to cartwhat is APGAR? scale to assess how a baby is reacting to life outside of the uterus that is checked 1 min and then 5 min after birth - score 0-10, 10 perfect babies (rare) 
what does the 1st A in APGAR assess? A - appearance (0-2) or color cyanotic or pale = 0 appropriate body color, but blue extrem...
What should it be included in the initial physical assessment of a newborn? -external -chest -abdomen -neurologic -genitourinary 
When should the APGAR be done? immediately after birth 
What is included in Apgar scoring? HR RR muscle tone reflex irritability generalized skin color 
What should be in...
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Add to cartWhat should it be included in the initial physical assessment of a newborn? -external -chest -abdomen -neurologic -genitourinary 
When should the APGAR be done? immediately after birth 
What is included in Apgar scoring? HR RR muscle tone reflex irritability generalized skin color 
What should be in...
What are the 5 assessment categories to the APGAR scoring system? (APGAR = Appearance (color), Pulse, Grimace (reflex irritability/cry), Activity (muscle tone), Respirations) 
What is the role of vernix caseosa? Protects newborn while in utero (fluid), lubrication with birth, & immunological & therm...
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Add to cartWhat are the 5 assessment categories to the APGAR scoring system? (APGAR = Appearance (color), Pulse, Grimace (reflex irritability/cry), Activity (muscle tone), Respirations) 
What is the role of vernix caseosa? Protects newborn while in utero (fluid), lubrication with birth, & immunological & therm...
What is the most critical extrauterine adjustment a newborn makes? The establishment of respiratory function with the cutting of the umbilical cord 
When do circulatory changes occur in a newborn? With the expulsion of the placenta and cutting of the umbilical cord 
What are the three shunts that cl...
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Add to cartWhat is the most critical extrauterine adjustment a newborn makes? The establishment of respiratory function with the cutting of the umbilical cord 
When do circulatory changes occur in a newborn? With the expulsion of the placenta and cutting of the umbilical cord 
What are the three shunts that cl...
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