APGAR Practice questions
Explain the intervals associated with scoring
1 minute of life 5 minutes after birth 10 mins if the 5-minute score is <7 points
You are assessing the one minute Apgar score for a newborn. She is pink all over and has a pulse of 130. As you dry her off she begins to cry vigorously and kick her legs. Her Apgar score is?
10 A2 P2 G2 A2 R2
Starting at which number on the APGAR score should you need to start resuscitation efforts?
6
It has been five minutes since your patient delivered her baby. The infant is crying weakly and is curling his arms and legs. He is pink all over with a pulse of 90 and weak respirations. What is his Apgar score
6 A2 P1 G1 A1 R1
You just delivered a baby boy. His body is pink, but his hands and feet are blue. Vital signs are P110, R rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His APGAR score is?
7 A1 P2 G1 A1 R2
A neonatal patient has a pink color, a pulse rate of 102, respiration rate of 27. She grimaces in response to stimuli, has limited muscle movement. This patient has an Apgar score of?
7 A2 P2 G2 A0 R1
What should a normal newborn Apgar score be?
8-10
A newborn has a strong cry and is actively moving his blue extremities when stimulated. It did. Vital signs are P140, R48. What is his Apgar score?
9 A1 P2 G2 A2 R2
One minute after birth, your newborn patient is actively crying in response to your Bulb syringe. His body is pink, and he's moving his extremities which are blue. His heart rate is 110. What is the newborns Apgar score?
9 A1 P2 G2 A2 R2
When performing a newborn assessment, the nurse should measure the vital signs in the following sequence:
Respirations (no stimulation required, just observation) Heart rate w/stethoscope (touching may spark stimulation) Temp
The expected respiratory rate of a neonate within three minutes of birth may be as high as: A. 50 B. 60 C. 80 D. 100
The respiratory rate is associated with activity and can be as Rapid as 60 breaths per minute; over 60 breaths per minute are considered tachypneic in the infant pg. 603
A newly delivered infant has a pink trunk and blue hands and feet, pulse rate of 60 and does not respond to your attempts to stimulate her. She also appears to be limp and taking slow, gasping breaths. What is her Apgar score?
3 A1 P1 G0 A0 R1
Within three (3) minutes after birth the normal heart rate of the infant may range between:
110-160bpm
When a newborn experiences physiologic depression, in what predictable order do the Apgar score characteristics disappear?
1st - The pink coloration is lost 2nd - The respiration effort 3rd - the tone 4th - reflex irritability 5th - heart rate
After assisting in the delivery of a newborn infant is pale and limp, has a slow heartbeat but shows some respiratory effort. What Apgar score would you give the infant
2 A0 P1 G- A0 R1
A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. In planning for the admission of this infant, the nurse's highest priority should be too: A. Connect the resuscitation bag to the oxygen outlet B. Turn on the apnea and Cartier respiratory monitors C. Set up the intravenous line with 5% dextrous in water D. Set the radiant warmer control temperature at 36.5ﾟC (97.6ﾟF)
A. Connect the resuscitation bag to the oxygen outlet The highest priority on admission to the nursery for a newborn with low Apgar scores is airway, which would involve preparing respiratory resuscitation equipment. The other options are also important, although they are of lower priority.
The primary critical observation for APGAR scoring is the: A. Heart rate B. Respiratory rate C. Presence of meconium D. Evaluation of the Moro reflex
A. Heart rate was found to be the most important diagnostic and prognostic of the five signs; it's vital for life and the most critical observation pg. 601
