Adiel Joy P. Calsa APGAR Scoring

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Adiel Joy P.

Calsa (BSN2 – Barnard A)


September 1, 2021

ASYNCHRONOUS ACTIVITY (APGAR SCORING)

1) An infant has been born for 5 minutes and the nurse notices that the infant is experiencing these signs and
symptoms.

Heart Rate < 100

Respiratory Rate Good Cry

Muscle Tone Flaccid

Reflex Irritability Grimace

Color Blue/Pale

Answers:
Score:

Heart Rate 1

Respiratory Rate 2

Muscle Tone 0

Reflex Irritability 1

Color 0

Total Score: 4

Indication: This score can be interpreted as moderately depressed. This signifies that the condition of the infant
is guarded and there might be a need of a more extensive clearing of the airway. Assistance for breathing is
required in this situation.

2) You just delivered a baby boy with:

Heart Rate 110

Respiratory Rate Rapid and irregular

Muscle Tone Resists attempts to straighten his legs

Reflex Irritability Weak cry when stimulated

Color Body is pink, but his hands and feet are blue

Answers:
Score:
Heart Rate 2

Respiratory Rate 1
Muscle Tone 2

Reflex Irritability 1

Color 1

Total Score: 7

Indication: This score is interpreted as excellent condition. This means that the infant is in the best possible
health but routine post-delivery care must be continued.

3) You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following
about your newborn patient:

Heart Rate 130

Respiratory Rate Weak cry

Muscle Tone Flexion of the arms and legs

Reflex Irritability Active movement and crying when stimulated

Color Pink body and hands with cyanotic feet

Answers:
Score:

Appearance 1

Pulse 2

Grimace 2

Activity 2

Respiration 1

Total Score: 8

Indication: This score is interpreted as excellent condition. This means that the infant is in the best possible
health but routine post-delivery care must be continued.

4) One of your patients arrives at labor and delivery floor in active labor. After a period of observation, she is
now dilated to 10 cm and having regular contractions. Delivered the newborn and now you are assessing the
one minute APGAR score for this baby. The baby is pink all over with a pulse of 130. As you dry her off, she
cries vigorously and is moving all 4 extremities.

Answer Choices
What is her 1 minute APGAR score?
A. 3 C. 5
B. 7 D. 10

Answer:
Score:

Appearance 2
Pulse 2

Grimace 2

Activity 2

Respiration 2

Total Score: 10

The answer would be letter D, since the baby has an APGAR score of 10. This means that the baby is in excellent
condition.

5) A newly delivered infant as 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?

Answer Choices
A. 3 C. 5
B. 7 D. 10

Answer:
Score:

Appearance 1

Pulse 1

Grimace 0

Activity 0

Respiration 1

Total Score: 3

The answer for this would be letter A, because the total APGAR score of the baby is 3. This score can be
interpreted as severely depressed.

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