A nurse is caring for a newborn who has an Apgar score of 8 at one minute after birth and an Apgar score of 10 at five minutes after birth.
Which statement best describes this newborn’s condition?
The newborn had a difficult transition at birth but recovered quickly.
The newborn was in good condition at birth and improved further.
The newborn had some problems at birth but is now in excellent condition.
The newborn was in excellent condition at birth but deteriorated slightly.
The Correct Answer is C
The newborn had some problems at birth but is now in excellent condition.
The Apgar score is a method of assessing the health of a newborn on a scale of 0 to 10 based on five criteria: appearance, pulse, grimace, activity, and respiration.
A score of 7 to 10 indicates that the newborn is in good condition and does not need any special care.
A score of 4 to 6 indicates that the newborn has some problems and may need some assistance.
A score of 0 to 3 indicates that the newborn is in serious trouble and needs immediate medical attention.
Choice A is wrong because a score of 8 at one minute after birth does not indicate a difficult transition.
It means that the newborn had only minor problems and was in good condition.
Choice B is wrong because a score of 10 at five minutes after birth does not indicate an improvement from a score of 8.
It means that the newborn had no problems and was in excellent condition.
Choice D is wrong because a score of 10 at five minutes after birth does not indicate a deterioration from a score of 8.
It means that the newborn had no problems and was in excellent condition.
Normal ranges for the Apgar score are:
• At one minute after birth: 7 to 10
• At five minutes after birth: 8 to 10
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is wrong because acrocyanosis means that the body is pink but the extremities are blue, which indicates poor circulation.A normal Apgar score for color is two points, which means that the baby is pink all over.
Choice A is correct because a heart rate below 100 beats per minute is considered moderately abnormal and receives one point.
Choice C is correct because active motion of extremities indicates good muscle tone and receives two points.
Choice D is correct because a vigorous cry when stimulated indicates good reflex irritability and receives two points.
Correct Answer is A
Explanation
Place the newborn on the mother’s chest after delivery.This is because skin-to-skin contact between mother and baby promotes bonding and attachment, which are essential for the baby’s emotional and psychological development.Skin-to-skin contact also helps regulate the baby’s body temperature, heart rate, breathing and blood sugar levels.
Choice B is wrong because wrapping the newborn in a blanket reduces the skin-to-skin contact and may interfere with the bonding process.The father can also bond with the baby by holding him or her against his own skin.
Choice C is wrong because placing the newborn in an isolette separates the baby from the mother and prevents close interaction and communication.The baby may feel insecure and isolated in an isolette.
Choice D is wrong because dressing the newborn in a gown and hat also reduces the skin-to-skin contact and may delay the initiation of breastfeeding.The baby may also lose more heat through clothing than through direct contact with the mother’s body.
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