Newborn Nursing Care: Understanding Apgar Scores and Nursing Interventions, Lecture notes of Nursing

An in-depth look into the Apgar scoring system used to assess the health of newborns during their first minute of life. It covers the five aspects of the Apgar score - appearance, pulse, grimace, activity, and respiratory effort - and outlines the appropriate nursing interventions based on the score. Understanding this system is crucial for newborn care and ensuring the best possible start for newborns.

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2021/2022

Uploaded on 09/27/2022

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Newborn Nursing
Care
NUR 128 FIRST LECTURE
THERESA DUBIEL MSN, RN
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Newborn Nursing

Care

NUR 128 FIRST LECTURE THERESA DUBIEL MSN, RN

APGAR Score

  • A: appearance
  • P: pulse (heart rate)
  • G: grimace
  • A: activity (muscle tone)
  • R: respiratory effort

Apgar Scores: Nursing Interventions

  • 0-3: Resuscitation (CPR)
  • 4-6: Stimulation and oxygen
  • 7-10: Skin to skin with mother

Pulse (normal heart rate 110-160 beats per minute)

  • 0: no heart beat
  • 1: below 100
  • 2: above 100

Grimace

  • 0: no response to stimulation
  • 1: grimace with stimulation
  • 2: cries with stimulation

Respiratory effort

  • 0: not breathing
  • 1: weak cry or gasping for breath
  • 2: lusty cry

One minute of life

  • 2: Heart rate over 100 bpm
  • 2: Loud cry
  • 1: Some flexion
  • 2: Cries when stimulated
  • 1: Body pink, hands pale
  • Apgar 8

One minute of life

  • 2 Heart rate over 100 bpm
  • 2 Loud lusty cry
  • 2 Pink all over
  • 2 Cries with stimulation
  • 2 Strong and flexed
  • Apgar 10