NURSING ANM AND GNM

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NURSING EXAM QUESTIONS

PAEDIATRIC NURSING

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
On examination of the newborn, the baby’s extremities were bluish and flexed, pulse <100 beats/minute, looked weak and grimaced. What is the Apgar score in this case
A
7
B
6
C
5
D
4
Explanation: 

Detailed explanation-1: -Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch: If there is no reaction, the infant scores 0 for reflex irritability. If there is grimacing, the infant scores 1 for reflex irritability.

Detailed explanation-2: -Color can also be misleading in non-white infants. If the infant is pale or blue, the score for color is 0. If the infant is pink, but the extremities are blue, the score for color is 1. If the infant is entirely pink, the score for color is 2.

Detailed explanation-3: -A score of 0, 1, or 2 is assigned to each of the 5 physical signs at 1 and 5 minutes after birth. The maximum score that can be assigned is 10. Scores ranging from 7-10 are considered normal. If the 5-minute Apgar score is abnormal (< 7), appropriate measures should be taken.

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