Infant Assessment (NURS 261) Questions and Correct Answers 100% Correct. 115 Q&A.
Full term
37 - 40 weeks
Normal vitals: Temperature
97.7 - 99 F
36.5 - 37.2 C
Normal vitals: Heart Rate
Infant Assessment (NURS 261)
Questions and Correct Answers 100%
Correct. 115 Q&A.
Full term
37 - 40 weeks
Normal vitals: Temperature
97.7 - 99 F
36.5 - 37.2 C
Normal vitals: Heart Rate
110 - 160 bpm
*up to 180 when crying
Normal vitals: Respiratory Rate
30 - 60 bpm
*increases with crying
*can have irregular breathing
*periods of apnea up to 15 seconds
Normal vitals: Blood Pressure
SBP: 50 - 75 mmHg
DBP: 30 - 45 mmHg
Questions to ask or research prior to caring for the client
-Term
-Amniotic fluid status
-Prenatal care
-Apgar scores
-Type of delivery
-Prenatal GBS status
-Forceps/Vacuum
If there is a lot of amniotic fluid, there is an increased risk of...
hypoglycemia
If there is a small amount of amniotic fluid, then mom is likely...
dehydrated
(or baby isn't urinating)
,APGAR scale
-a standard measurement system that looks for a variety of indications of good health in newborns
-first scoring at 1 minute
Appearance, Pulse, Grimace, Activity, Respiration
Maximum Apgar score
10
Second Apgar score should be at least...
7
If 2nd Apgar score is less than 7, continue scoring every...
5 minutes
C-Section babies have higher risk of...
-respiratory distress (lungs aren't squeezed as well as through vaginal vault)
-cephalohematoma (use of forceps, vacuum)
LATCH score
Successful score is 8/10 or greater
Latch, Audible swallowing, Type of nipple, Comfort, and Hold
Gestational age assessment form
-every baby should have one (keeps nurses sharp)
-the score should indicate how many weeks gestation (ex: 40 = 40 weeks, 25 = 34 weeks)
, Obstetrical methods
-LMP
-conception/ovulation date
-implantation bleeding
-pregnancy test
-pelvic exam <16 wks
-FHT by doppler (9-12 wks)
-uterus @ umbilicus (20 wks)
-fundal height
-fetal movement
-ultrasound (crown-rump, biparietal diameter, femur length)
US: Crown-Rump
<14 wks
US: biparietal diameter
-ear to ear
-12-42 wks
US: femur length
12-24 wks
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.