Muscle tone Show (The five areas that are assessed when the Apgar score is calculated are heart rate, respiratory effort, muscle tone, reflex irritability, and color. The rate of respirations, not the depth, is assessed for an Apgar score. Amount of mucus, degree of head lag, and depth of respirations are not tested for an Apgar score.) Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo: abundant The characteristics of preterm, term, and postterm gestational age are based on assessments of physical maturity such as the Ballard or Dubowitz assessment. A preterm infant's skin is translucent, with many visible veins. A term infant has some cracking of the skin and some visible veins, depending on gestational age. Term is any gestation after 38 weeks; veins are less visible at 40 weeks' gestation. The postterm infant typically has dry, leathery, parchmentlike skin with numerous deep wrinkles. The areolae of a preterm infant are flat, without buds, and they become more raised during development, averaging 3 to 4 mm at term and 5 to 10 mm in the postterm infant. The plantar creases develop on the foot during gestation, beginning smooth, then covering two thirds at term, and finally covering the entire sole after term. Lanugo is the fine downy hair that diminishes as the infant develops gestationally. What is assessed when using the Apgar score in a newborn?The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. Babies usually get the test twice: 1 minute after birth, and again 5 minutes after they're born.
How are Apgar scores calculated?The Apgar score is a number calculated by scoring the heart rate, respiratory effort, muscle tone, skin color, and reflex irritability (response to a catheter in the nostril). Each of these objective signs can receive 0, 1, or 2 points.
What is the nurse's role in Apgar scoring?Nurse interventions to improve the APGAR score include:
Stimulating the baby to breathe or providing positive pressure ventilation (PPV) via the bag valve mask. Possible bulb suctioning the airway as needed, though this is being phased out unless absolutely critical due to risk for bradycardia and aspiration.
What is assessed when using the Apgar score in a newborn quizlet?APGAR measures the baby's color, heart rate, reflexes, muscle tone and respiratory effort.
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When calculating the Apgar score for a newborn What does the nurse assess in addition to the heart rate?
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