A newborn's 1-minute Apgar score was 9. Which of the following criteria is most likely responsible for the loss of 1 point from a possible score of 10?
a. Heart rate
b. Respiratory effort
c. Color
d. Muscle tone
ANS: C
Most newborn infants have acrocyanosis (blueness of the hands and feet). This is considered normal but results in the loss of 1 point on the Apgar scale.
You might also like to view...
A patient is taking atorvastatin calcium (Lipitor) to reduce serum cholesterol. What is the goal of therapy to reduce LDL cholesterol for a patient taking atorvastatin calcium (Lipitor)?
A) 100 mg/dL B) 75 mg/dL C) 80 mg/dL D) <70 mg/dL
After being medicated for postoperative pain an older patient becomes agitated and combative. Since this behavior has not been previously demonstrated the nurse conducts additional assessment for which most likely condition?
1. Depression 2. Delirium 3. Drug toxicity 4. Dementia
A patient with a tension pneumothorax requires insertion of a pleural chest tube. The nurse assists the physician as multiple doses of a local anesthetic are administered prior to tube insertion. Which observation by the nurse warrants immediate physician attention?
1. The patient's respiratory rate changes from 22 to 26 breaths per minute. 2. The patient complains of pain during anesthetic injections. 3. The patient's systolic blood pressure changes from 156 to 138 mmHg. 4. The patient's heart rate changes from 100 to 75 beats per minute.
A patient diagnosed with gonorrhea has not been adhering to the prescribed medication regimen
Which findings could indicate the patient is experiencing complications of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. WBC 22,000 2. Complaints of severe abdominal pain 3. Ambulating slowly with legs apart 4. Tenderness upon palpation of the abdomen 5. Serum potassium of 3.4