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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 110/min; slow, weak cry; flexed extremities; cries in response to suctioning of the nares; body pink in color with blue extremities.

Calculate the newborn’s Apgar score.
Answer and Explanation

The Correct Answer is ["7"]

The newborn’s Apgar score is 7.

Step 1: Heart rate of 110/min = 2 points.

Step 2: Slow, weak cry = 1 point.

Step 3: Flexed extremities = 1 point.

Step 4: Cries in response to suctioning of the nares = 2 points.

Step 5: Body pink in color with blue extremities = 1 point. Total Apgar score = 2 + 1 + 1 + 2 + 1 = 7.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale

The Babinski reflex is elicited by stroking the outer edge of the sole of the newborn’s foot, moving up toward the toes. This causes the big toe to move upward and the other toes to fan out.

Choice B rationale

Turning the newborn’s head quickly to one side is used to elicit the tonic neck reflex, not the Babinski reflex.

Choice C rationale

Holding the newborn vertically and allowing one foot to touch the table surface is used to elicit the stepping reflex, not the Babinski reflex.

Choice D rationale

Clapping near the crib and making a loud noise is used to elicit the startle (Moro) reflex, not the Babinski reflex.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

  1. “The glans penis will appear red and have a yellow crust as it heals. Do not remove this.”
    • Essential: This is a normal part of the healing process.
  2. “Ensure the diaper is really tight to keep the gauze attached to the penis.”
    • Contraindicated: The diaper should be loose to avoid pressure on the circumcision site.
  3. “Notify your pediatrician if your baby has not voided in 24 hours.”
    • Essential: This could indicate a problem that needs medical attention.
  4. “Coat the glans penis with petroleum jelly and cover with gauze.”
    • Essential: This helps prevent the diaper from sticking to the circumcision site and aids in healing.
  5. “Check for bleeding every 4 hours for the first 24 hours and notify your pediatrician if there is bleeding at the circumcision site.”
    • Essential: Monitoring for bleeding is crucial to ensure there are no complications.

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