At 1 minute after birth, the infant has a heart rate of 100 beats ...

[mydiamond]

At 1 minute after birth, the infant has a heart rate of 100 beats per minute, and is crying vigorously. The limbs are flexed, the trunk is pink, and the feet and hands are cyanotic.
 
  The infant cries easily when the soles of the feet are stimulated. How would the nurse document this infant's Apgar score? 1. 7
  2. 8
  3. 9
  4. 10

Question 2

During newborn resuscitation, the nurse evaluates the effectiveness of bag-and-mask ventilations by:
 
  1. The rise and fall of the chest.
  2. Sudden wakefulness.
  3. Urinary output.
  4. Adequate thermoregulation.

[Sophiapenny]

Answer to Question 1

3
Rationale 1: The Apgar score is higher than 7.
Rationale 2: The Apgar score is not 8.
Rationale 3: Two points each are scored in each of the categories of heart rate, respiratory effort, muscle tone, and reflex irritability. One point is scored in the category of skin color. The total Apgar would be 9.
Rationale 4: The infant has cyanotic limbs, so the Apgar score cannot be perfect.

Answer to Question 2

1
Rationale 1: With proper resuscitation, effectiveness is observed by visualizing the rise and fall of the chest.
Rationale 2: Sudden wakefulness is not associated with effectiveness of bag-and-mask ventilations.
Rationale 3: Urinary output is not associated with effectiveness of bag-and-mask ventilations.
Rationale 4: Adequate thermoregulation is not associated with effectiveness of bag-and-mask ventilations.