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CINEMATICA FISICA EXERCICIOS SKIN

If Hr < 60, PALS guidelines indicate it is time to start chest compressions.

If heart rate is less than 100 bpm, apneic or gasping, it’s a common policy to start PPV until heart rate and respiratory status improves.

Performing chest compressions as needed.

Normalizing temperature (usually involves keeping baby warm, but hyperthermia can occur in febrile mothers).

Possible bulb suctioning the airway as needed, though this is being phased out unless absolutely critical due to risk for bradycardia and aspiration.

Stimulating the baby to breathe or providing positive pressure ventilation (PPV) via the bag valve mask.

Nurse interventions to improve the APGAR score include: PINK AT TRUNK, CYANOSIS AT HANDS AND FEET A baby with inadequate respirations (or none at all) requires immediate respiratory intervention. It is standard of practice in many facilities to measure respiratory rate by auscultation.

Respiration: A crying baby is a breathing baby! If you are assessing by visualization, be sure to assess respirations by observing the rise and fall of the abdomen since newborns are diaphragmatic breathers.

A baby who is oxygenating well and “pink” will usually have good scores for pulse and respirations as well. Pallor, however, will be notable on the palms and soles of the feet. While the blanket term is “pink” note that a pink tone isn’t necessarily going to show on darker-skinned infants.

CINEMATICA FISICA EXERCICIOS SKIN

Appearance: We are looking for a baby with skin color appropriate for their skin tone.A perfect time to do this is with nasal suctioning with the bulb syringe or tapping baby’s foot.

Grimace: With this assessment we are looking at baby’s response to stimulation.A rate less than 60 bpm requires chest compressions as this baby is in a lot of trouble. A heart rate that is absent or less than 100 bpm requires immediate intervention. Pulse: You can obtain heart rate by auscultating the heart, or palpating the junction at the umbilical cord and skin.It can range from no movement with flaccid muscles or vigorous movement of arms and legs. Activity: Make note of the baby’s level of activity.As the “baby nurse” (the one who is caring for the baby) it is your responsibility to always immediately report APGAR scores to the attending practitioner (MD or Nurse Midwife) so appropriate interventions can be completed. Additionally, this baby will need immediate resuscitation, further evaluation and likely heading to the NICU.Ī baby whose APGAR score does not improve beyond the 0-3 range at the 20 minute mark has a high risk for mortality. This baby may have a health problem we don’t know about yet such as a cardiac abnormality, bleeding or difficulty breathing.

A score of 0 in any area or a total score below 4 is of considerable concern. This is often due to medications the mother was given during labor or in cases of a very rapid delivery or premature delivery. A score of 4-6 tells us that baby is having some difficulty adjusting to life outside the womb. The best possible score is a 10, but anything in the 7-10 range is generally considered normal for this immediate period after birth. With this assessment, you are looking at five components: The baby’s activity, pulse, grimace, appearance and respirations. It is typically conducted at minute 1, then again at minute 5, with potential further assessment done 10, 15, and 20 minutes after birth if the score is less than 7 (though please note this can vary by policy). This assessment is a quick review of the baby’s body systems and adaptation to extrauterine life. Immediately after the infant is born, you’ll be conducting some key assessments. Other interventions during the immediate postpartum period.Nurse interventions to improve the APGAR score include:.