Nursing Management of the Newborn at Risk

Acquired and Congenital Newborn Conditions

  1. On the evening shift in the special care nursery, you are paged to delivery room 5. When you arrive, the labor nurse says the baby has been stuck in the birth canal for a while, and the fetal heart tones are down. They use the vacuum suction to assist delivery. The doctor gets the baby out and places the infant on the radiant warmer. You are the resuscitating nurse for the infant, and you observe the following: the infant is limp, pale, gasping, has poor tone, and the heart rate is 101. (Learning Objective 1)

What are your first actions to aid in this infant’s recovery?
What Apgar score would you assign at 1 minute with these results? Explain the score for each category.

Sample Solution