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Author Question: The nurse is assessing a neonate to obtain an Apgar score. The nurse records the following data: ... (Read 86 times)

TVarnum

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The nurse is assessing a neonate to obtain an Apgar score. The nurse records the following data: heart rate: 120 bpm, good respiratory effort, neonate crying vigorously, some flexion of extremities, body color: pink, extremities blue.
 
  What would be the Apgar score for this neonate? A) 4
  B) 6
  C) 8
  D) 10

Question 2

The nurse is attempting to seek clarification from the client. What are examples of questions that the nurse can ask the client to seek clarification?
 
  1 . Do you smoke?
   2 . Tell me more about it.
   3 . Explain that to me.
   4 . What do you mean by walking with the dog?
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4



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missalyssa26

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Answer to Question 1

C
Feedback:
The Apgar score is determined by the following: Heart rate: absent = 0, <100 >100 = 2 . Respiratory effort: absent = 0, slow, irregular = 1, good, crying = 2 . Muscle tone: flaccid = 0, some flexion of extremities = 1, active crying = 2 . Reflexes, irritability: no response = 0, weak cry or grimace = 1, vigorous crying = 2 . Color: blue, pale = 0, body pink, extremities blue = 1, and completely pink = 2 . This neonate receives 2 for heart rate, 2 for respiratory effort, 2 for reflexes, and 1 for muscle tone and color, which equals a score of 8.

Answer to Question 2

D
Feedback:
Clarification is necessary if the client answers a question and the nurse does not clearly understand the answer or wants additional information. The nurse can ask the client to repeat what was said, or may say, Tell me more about it or Explain that to me or What do you mean by.? Do you smoke? is an example of a closed-ended question.





 

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