1. A new mom gave birth to a healthy girl 2 hours ago. Now she calls you to her room. She sounds frightened and says her

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1. A new mom gave birth to a healthy girl 2 hours ago. Now she
calls you to her room.
She sounds frightened and says her baby can’t breathe. You find her
cradling her
newborn in her arms. The baby is mildly cyanotic, waving her arms,
with mucus coming
from her nose and mouth.
What should the nurse do first?
What should the nurse teach the mom?
2. A newborns initial assessment at one minute reveals the
following: Heart rate 90 – no
respirations – flaccid – grimaces – body pink extremities blue. At
five minutes the heart
rate is 120 – strong cry – well flexed extremities – body pink and
extremities are blue.
What is the one minute Apgar score?
What is the five minute Apgar score?
What does this infants 1&5 minute apgar score
indicate?
What are the nursing interventions based on each apgar score?
3. The nurse is assessing a 2 hour infant during the transition
period the nurse obtains
the following: Heart rate 150 – Respirations – 50 – Temperature 96
F – Blood glucose 30.
What is the normal range of vital signs for a newborn?
What is the normal range for a blood glucose level for a
newborn?
What do the vital signs and blood glucose levels for this infant
indicate?
And what should the nursing interventions be?
4. During the transition period the nurse performs the
gestational age assessment.
Looking at the gestational age assessment chart for: Neuromuscular
Maturity describe
the posture an infant would exhibit to have a score of 0 and a
score of 4.
The infant’s Physical Maturity is: Skin – cracking, rare vein
Lanugo – thinning
Plantar surface – creases cover 2/3 of heel Breast – 3-4mm bud
Eye/Ear – formed firm
instant recoil Genital (female) minjora/minora equally prominent
What is the total score
for the physical maturity assessment.