HESI RN HEALTH ASSESSMENT
Total Questions : 85
Showing 10 questions, Sign in for moreThe nurse is calculating the one-minute Apgar score for a newborn infant and determines that the heart rate is 150 beats/minute, a vigorous cry is present, muscle tone is good with total flexion, quick reflex irritability noted, and skin color is dusky and cyanotic.
Which Apgar score should the nurse assign to this infant?
(Enter numeric value only.)
Explanation
To determine the Apgar score for the newborn infant, we assess five parameters: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each parameter is scored from 0 to 2, with 2 being the highest score. Let's evaluate each parameter:
- Heart rate: 150 beats/minute --> Score of 2.
- Respiratory effort: Vigorous cry present --> Score of 2.
- Muscle tone: Good muscle tone with total flexion --> Score of 2.
- Reflex irritability: Quick reflex irritability noted --> Score of 2.
- Color: Dusky and cyanotic skin color --> Score of 1.
Now, we sum up the scores: 2+2+2+2+1=92+2+2+2+1=9
Therefore, the Apgar score for this infant is 9.
A woman comes to the clinic for her first prenatal visit. The nurse is conducting a health history and the woman begins to cry when asked about previous pregnancies. Which response is best for the nurse to provide?
On the first postpartum day, the nurse examines the breasts of a new mother. Which condition is the nurse most likely to find?
Nico: It comes immediately after birth within the first 12 to 18hrs ~ 1mo ago
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Shateena: cOLOSTRUM COMES A FEW DAYS AFTER BIRTH SO THE ANSSWER WOULD BE B ~ 2mos ago