Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 12 views

    The APGAR Scoring System: Score of 0 Score of 1 Score of 2 Component of Acronym

    Uploaded by

    Anonymous hMjlyjPgZ
    The document describes the APGAR scoring system used to evaluate newborns. It assigns scores of 0, 1, or 2 for five criteria: appearance, pulse, grimace, activity, and respiration. A total score of 0-3 indicates severe depression, 4-6 moderate depression requiring airway clearance, and 7-10 excellent condition. It then lists goals and steps for immediate newborn care, including establishing respiration by suctioning the mouth/nose, stimulating crying, and positioning to drain secretions. Maintaining warmth to prevent hypothermia is also a goal. Safety and identifying problems requiring attention are the final goals outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    The APGAR Scoring System: Score of 0 Score of 1 Score of 2 Component of Acronym

    Uploaded by

    Anonymous hMjlyjPgZ
    12 views3 pages
    The document describes the APGAR scoring system used to evaluate newborns. It assigns scores of 0, 1, or 2 for five criteria: appearance, pulse, grimace, activity, and respiration. A total score of 0-3 indicates severe depression, 4-6 moderate depression requiring airway clearance, and 7-10 excellent condition. It then lists goals and steps for immediate newborn care, including establishing respiration by suctioning the mouth/nose, stimulating crying, and positioning to drain secretions. Maintaining warmth to prevent hypothermia is also a goal. Safety and identifying problems requiring attention are the final goals outlined.

    Original Title

    module perp.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document describes the APGAR scoring system used to evaluate newborns. It assigns scores of 0, 1, or 2 for five criteria: appearance, pulse, grimace, activity, and respiration. A total score of 0-3 indicates severe depression, 4-6 moderate depression requiring airway clearance, and 7-10 excellent condition. It then lists goals and steps for immediate newborn care, including establishing respiration by suctioning the mouth/nose, stimulating crying, and positioning to drain secretions. Maintaining warmth to prevent hypothermia is also a goal. Safety and identifying problems requiring attention are the final goals outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12 views3 pages

    The APGAR Scoring System: Score of 0 Score of 1 Score of 2 Component of Acronym

    Uploaded by

    Anonymous hMjlyjPgZ
    The document describes the APGAR scoring system used to evaluate newborns. It assigns scores of 0, 1, or 2 for five criteria: appearance, pulse, grimace, activity, and respiration. A total score of 0-3 indicates severe depression, 4-6 moderate depression requiring airway clearance, and 7-10 excellent condition. It then lists goals and steps for immediate newborn care, including establishing respiration by suctioning the mouth/nose, stimulating crying, and positioning to drain secretions. Maintaining warmth to prevent hypothermia is also a goal. Safety and identifying problems requiring attention are the final goals outlined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Score of 0

    Complexion

    Pulse rate

    blue or pale
    all over

    absent

    Reflex irritability

    no response

    grimace

    to stimulation

    Score of 1

    Score of 2

    blue at extremities

    no cyanosis

    body pink

    body and

    (acrocyanosis)

    extremities pink

    < 100 beats per

    > 100 beats per

    minute

    minute

    Component of
    acronym

    Appearance

    Pulse

    grimace on suction or
    aggressive

    cry on stimulation

    Grimace

    stimulation

    flexed arms and


    Activity

    none

    some flexion

    legs that resist

    Activity

    extension

    Respiratory effort

    absent

    weak, irregular,
    gasping

    strong, lusty cry

    Respiration

    The APGAR Scoring System


    (developed by Dr. Virginia Apgar)

    *** 0-3 Severely Depressed


    4-6 Moderately Depressed, needs airway clearance
    7-10 Excellent Condition

    Immediate Care of the Newborn


    Goals:
    1.
    2.
    3.
    4.

    To establish, maintain and support respiration.


    To provide warmth and prevent hypothermia.
    To ensure safety and prevent injury and infection.
    To identify actual or potential problems that may require immediate attention.

    To establish and maintain respiration


    1. Wipe mouth and nose of secretions after delivery of the head.
    2. Suction secretion s from mouth and nose;
    **Compress bulb syringe before inserting
    Suction mouth first, then, the nose
    Insert bulb syringe in one side of the mouth
    3. A crying infant is a breathing infant. Stimulate baby to cry if baby does not cry
    spontaneously or if cry is weak.
    **Do not slap the buttocks but rub the soles of the feet.
    Stimulate to cry only after secretions are removed
    The normal infant cry is loud and lusty. Observe for the following abnormal cry:
    High pitched cry indicates hypoglycemia, increased intracranial pressure
    Weak cry- prematurity
    Hoarse cry laryngeal stridor
    4. Oral mucous may cause the newborn, to choke, cough or gag during the first 12
    to 18 hours of life. Place infant in a position that would promote drainage of
    secretions.
    Trendelenburg position head lower than the body.
    Side lying position if Trendelenburg positions is contraindicated, place
    infant in sidelying position to permit drainage of mucus from the mouth, pale a small
    pillow or rolled towel at the back to prevent newborn from rolling back to supine position.
    5. keep the nares patent. Remove mucus and other particles that may be cause
    obstruction. Newborns are obligatory nose breathers until they are about 3 weeks
    old.
    Characteristics of Newborn Temperature:

    1. newborns loss about 2 to 3 degree centigrade of heat at birth because the


    external environment is much cooler than the temperature inside the mothers
    womb.
    2. Newborns loss heat easily because:
    They have immature temperature regulating system
    Of very little amount of subcutaneous fat to provide heat in their body
    They have a larger body surface
    3. They also tend to take on the temperature of their environment.
    4. The average newborn temperature at birth is around 37.2 C. It is not unusual
    for its temperature to fluctuate during the first few hours after birth but is
    should stabilize within 10 hours at a range of 36.5 to 37C.

    You might also like