The neonate was born 5 minutes ago. The body is bluish. The heart rate is 150. The infant is crying strongly. The infant cries when the sole of the foot is stimulated. The arms and legs are flexed, and resist straightening
What should the nurse record as this infant's Apgar score? 1. 7
2. 8
3. 9
4. 10
2
Rationale 1: The Apgar score would be higher; only the skin color needs to be subtracted.
Rationale 2: The strong cry earns 2 points. The crying with foot sole stimulation earns 2 points. The limb flexion and resistance earn 2 points each. Bluish color earns 0 points. The Apgar score is 8.
Rationale 3: The Apgar score would be lower than 9 because of the skin color.
Rationale 4: Ten is a perfect score. The nurse needs to subtract for skin color.
You might also like to view...
Which applications of information technology are currently important to nursing? (Select all that apply.)
1. Internet access for patients 2 .Physician order entries 3. Electronic transmission of prescriptions 4. Wireless and portable devices 5. Computer-based patient records
To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG), the nurse can evaluate the patient for improvement by
a. questioning the patient about blurred vision. b. noting any changes in the patient's visual field. c. asking the patient to rate the pain using a 0 to 10 scale. d. assessing the patient's depth perception when climbing stairs.
A patient is receiving a glucocorticoid medication to treat an inflammatory condition, and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?
a. Acromegaly b. Adrenocortical insufficiency c. Hypertensive crisis d. Thyroid storm
It is NOT necessary to demonstrate the use of the phone and television, since most people know how to use them
True False