NSG 3323 Lecture Notes - Lecture 28: Apgar Score, Slow Irregular Variable, Muscle Tone
Document Summary
First assessment in delivery room, immediately after birth. Second assessment 1-4 hours after birth > process of adaptation to extrauterine life. Before discharge and within rst 24 hours of life. 2 slow - below 100 above 100 slow - irregular good crying some exion of extremities active motion. Apical pulses > count for 1 full minute. Respirations > count for 1 ll minute = 30-60. Blood pressure = 70-50/45-30 mmhg > initially, not given during every vital sign assessment. Establish in rst 4 hours after birth > gestational age tools. Nervous system unstable during rst 24 hours of life. Physical characteristics and neurologic characteristics given a point value for each. Physical characteristics > skin, lanugo, plantar surface, breast, eye/ear, genitals (male/female) Neurologic characteristics > poster, square window sign, recoil, popliteal angle, scarf sign, and heel to ear. Caudocephalic direction > going from feet to head. Below 10th percentile = small for gestational age (sga)
