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
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