Ati nur299 maternal newborn proctored exam
Calculation
A nurse is caring for a newborn and calculating the Apgar score. At 1 minute after delivery, the following findings are noted: heart rate of 120/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's Apgar score.
Explanation & Rationale
Step 1: Assign points for Heart Rate. Heart rate of 120/min = 2 points (normal range: 100-160 beats/min). Step 2: Assign points for Respiratory Effort. Slow, weak cry = 1 point (normal is good, strong cry). Step 3: Assign points for Muscle Tone. Some flexion of extremities = 1 point (normal is active motion). Step 4: Assign points for Reflex Irritability. Grimace in response to suctioning of the nares = 1 point (normal is cry/sneeze/cough). Step 5: Assign points for Color. Body pink in color with blue extremities = 1 point (normal is completely pink). Step 6: Sum the points for the Apgar score. 2 + 1 + 1 + 1 + 1 = 6.
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