2024 ATI MATERNAL NEWBORN PROCTORED EXAM WITH 200 REAL EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
The nurse is performing Apgar scoring for a newborn immediately after birth. The
nurse notes that the heart rate is less than 100, respiratory effort is irregular, and
muscle tone shows some extremity flexion. The newborn grimaces when suctioned
with a bulb syringe, and the skin color indicates some cyanosis of the extremities.
The nurse should most appropriately document which Apgar score for the
newborn?
A) 3
B) 5
C) 7
D) 10 - ANSWER-B) 5
Rationale: One of the earliest indicators of successful adaptation of the newborn is
the Apgar score. Scores range from 0 to 10. Five criteria are used to measure the
infant's adaptation. Heart rate: absent = 0; less than 100 = 1; greater than 100 = 2.
Respiratory effort: absent = 0; slow or irregular weak cry = 1; good, crying lustily
= 2. Muscle tone: limp or hypotonic = 0; some extremity flexion = 1; active,
moving, and well flexed = 2. Irritability or reflexes (measured by bulb suctioning):
no response = 0; grimace = 1; cough, sneeze, or vigorous cry = 2. Color: cyanotic
or pale = 0; acrocyanotic, cyanosis of extremities = 1; pink = 2. Newborn infants
with an Apgar score of 5 to 7 often require resuscitative interventions. Scores of
less than 5 indicate that the newborn infant is having difficulty adjusting to
extrauterine life and requires more vigorous resuscitation
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