Test Bank - Advanced
Pediatric
Assessment//advanced
physical assessment –
Pediatric EXAM LATEST
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During the delivery of a male infant, you are
there to assess the Apgar score. He was born
through an intact pelvis and had no
complications during labor or delivery. At 1
minute he is pink all over and grimaces. He is
flexing his arms and legs occasionally. He is
breathing well and his heart rate is 110. At 5
minutes he is still pink all over but now is
crying vigorously, with active movement. His
respiratory effort is good and his heart rate is
130.
What is his Apgar score?
A) 8 at 1 minute, 10 at 5 minutes
B) 7 at 1 minute, 9 at 5 minutes
C) 9 at 1 minute, 10 at 5 minutes
D) 8 at 1 minute, 9 at 5 minutes - ANSWER-Ans:
A
Chapter: 18
In checking the Apgar, five things are looked
at during the 1-minute and 5-minute marks.
The color, reflex irritability, muscle tone,
respiratory effort, and heart rate are evaluated.
In this case, at 1 minute he received 2 points
for being pink all over, 1 point for grimacing, 1
point for flexion of the arms and legs, 2 points
for strong respiratory effort, and 2 points for a
heart rate over 100. This gives a 1-minute total
of 8. At 5 minutes he was given 2 points for
being pink all over, 2 points for vigorous
crying, 2 points for active movement, 2 points
for strong breathing, and 2 points for a heart
rate over 100. This gives a 5-minute total of 10.
These are normal, healthy Apgar scores.
A 24-year-old mother who is a smoker and
cocaine addict gave birth at 39 weeks to a
2,000-gram female infant who is in the
neonatal intensive care unit. Using the
Intrauterine Growth Curve chart, you
determine whether the infant's weight is
appropriate for her gestational age.
In which category does the infant best fit?
A) Large for gestational age
B) Normal for gestational age
C) Small for gestational age - ANSWER-Ans: C
Chapter: 18
Page and Header: 746, Assessing the Newborn
Feedback: For a 39-week infant, any weight
less than 2,500 grams would be considered
small. Intrauterine growth retardation and low
birth weight would be expected in a smoker
who also abuses cocain
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