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Author Question: At 1 minute after birth, the nurse assesses the infant and notes a heart rate of 80 beats/minute, ... (Read 154 times)

piesebel

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At 1 minute after birth, the nurse assesses the infant and notes a heart rate of 80 beats/minute, some flexion of the extremities, a weak cry, grimacing, and a pink body with blue extremities. The nurse would calculate an Apgar score of: ________
 
  What will be an ideal response?

Question 2

Nursing follow-up care often includes home visits for the new mother and her infant. Which in-formation related to home visits is correct?
 
  a. Ideally, the visit is scheduled within 72 hours after discharge.
  b. Home visits are available in all areas.
  c. Visits are completed within a 30-minute time frame.
  d. Blood draws are not a part of the home visit.



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jesse.fleming

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Answer to Question 1

ANS:
5
Each of the five signs the nurse noted would score an Apgar of 1 for a total of 5. Signs include heart rate, respiratory effort, muscle tone, reflex irritability, and color. The highest possible Apgar score is 10.

Answer to Question 2

ANS: A
The home visit is ideally scheduled within 72 hours after discharge. This timing allows early as-sessment and intervention for problems with feedings, jaundice, newborn adaptation, and mater-nal-infant interaction. Because home visits are expensive, they are not available in all geographic areas. Visits are usually 60 to 90 minutes in length to allow enough time for assessment and teaching. When jaundice is found, the nurse can discuss the implications and check the transcutaneous bilirubin level or draw blood for testing.





 

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