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 A
Explanation
Carbon monoxide poisoning.
This is because the client reports having a headache and vertigo after turning on his furnace for the first time this season.These are common symptoms of carbon monoxide poisoning, which can occur when carbon monoxide, a colorless and odorless gas, builds up in the blood due to exposure to combustion fumes.
The furnace may have been a source of carbon monoxide if it was not well vented or maintained.
The other statements are wrong because:
Meniere’s disease is a disorder of the inner ear that causes vertigo, hearing loss, tinnitus and ear fullness. It is not related to carbon monoxide exposure or furnace use.
Migraine is a type of headache that causes throbbing pain, nausea, sensitivity to light and sound, and sometimes visual disturbances. It is not caused by carbon monoxide exposure or furnace use, but by genetic and environmental factors.
Benign paroxysmal positional vertigo (BPPV) is a condition that causes brief episodes of vertigo triggered by changes in head position. It is caused by tiny crystals in the inner ear that become dislodged and stimulate the balance sensors. It is not related to carbon monoxide exposure or furnace use.
Correct Answer is A
Explanation
Thin and transparent skin is a sign of prematurity in newborns.The New Ballard Scale is a scale that estimates the gestational age of a newborn infant based on physical and neuromuscular characteristics.
The other choices are signs of maturity or postmaturity in newborns:
• Choice B: Well-developed breastbuds indicate a gestational age of 38 to 44 weeks.
• Choice C: Creases on the bottom of feet indicate a gestational age of 32 to 44 weeks.
• Choice D: Developed labia indicate a gestational age of 40 to 44 weeks.
The normal range for gestational age is 37 to 42 weeks.Premature infants are those born before 37 weeks, and postmature infants are those born after 42 weeks.
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