-APGAR stands for Appearance, Pulse, Grimace, Activity, and Respiration. Each is rated as 0,1, or 2, then all scored are added up.
this score is an evaluation made by the nurse at 1 and 5 min after birth to assist the nurse in the assessment of how well the infant is transitioning to extrauterine life.
Heart rate, respiratory effort, reflex irritability, muscle tone, and color and components of the assessment.
Each category will get a score of 1 or 2 (or 0), optimal is 10
-For appearance: 0 is pale or blue all over, 1 is blue at the extremities (acrocyanosis) and 2 is body and extremities pink.
-Pulse rate: 0 is hear rate absent, 1 is hear rate below 100, 2 is heart rate above 100
-Reflex irritability (Grimace): 0 is absence of response to stimulation, 1 is a feeble cry or grimace after stimulation, 2 cries or pulls away after stimulation.
Muscle tone: 0 is none, 1 is some flexion, 2 is flexed arms and legs that can resist extension.
Respiration: 0 is absent, 1 is weak and irregular, 2 is strong cries.
jitteriness, irregular respiratory effort, cyanosis, apnea, weak high-pitched cry, feeding difficulty, hunger, lethargy, twitching, eye rolling, and seizures.
A blood glucose level of less than 40 mg/dl by heel stick is an urgent situation requiring therapy with glucose, generally orally. Blood glucose levels should be checked initially between 30 min and 2 hr after birth and repeated every 30 min to 1 hr until the levels are consistently within normal limits
significantly high or low axillary temperatures, frequent vomiting, poor feeding, diarrhea, decreased urination or bowel movements, cyanosis, breathing difficulties, lethargy, inconsolable crying, eye drainage, or bleeding from the umbilical cord or circumcision. is an infection of the endometrium (lining of the uterus). It can occur during pregnancy, after childbirth or be unrelated to pregnancy (if so, it is called pelvic inflammatory disease).
-caused by organisms that are normally inhabitants of the vagina and cervix
-major s/s: fever, chills, malaise, lethargy, anorexia, abdominal pain, and cramping, uterine tenderness and purulent, foul-smelling lochia