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QUESTION NUMBER _ 51 _ about (MC)


QUESTION: "The client delivers a viable male neonate who is given a score of 9 at 5 minutes on the Apgar rating system. The nurse interprets this finding as indicating that the neonate's physical condition is which of the following?"

CHOICES

( O ) a.) Good.

( X ) b.) Fair.

( X ) c.) Poor.

( X ) d.) Critical.


RATIONALE: The Apgar rating system evaluates the neonate on the basis of heart rate, respiratory effort, muscle tone, reflex irritability, and color at 1- and 5-minute intervals after birth. The neonate receives a score between 0 and 10. The higher the score, the better the neonate's condition. An Apgar score of 9 out of a possible score of 10 means that the neonate is in good condition. An Apgar score between 4 and 6 indicates fair condition. An Apgar score of 3 to 5 is indicative of poor neonatal status and a need for resuscitation. An Apgar score between 0 and 3 indicates critical condition and a need for resuscitation. NURSING PROCESS STEP: Analysis CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None