don't understand something - page 2

I have a question about the Apgar Score. When a baby scores 0 on an Apgar at birth, what is protocol? I thought 0 meant the baby was dead? I had a patient today, according to his admission history he... Read More

  1. by   2curlygirls
    It's 15 minutes IIRC (it's been a while since I opened my NRP instructor book, darn you maternity leave I'm all rusty!)
    We recently had a shoulder dystocia who's Apgars were 0,0 and 7 had some encephalopathy but went home in a week, nipplingm doing fine but scheduled for high risk follow up. (Yes, I realize an Apgar of 7 is very different than a 1)
    The OP's kiddo had a lot wrong in his world poor guy
  2. by   33-weeker
    Another thing to consider is if there were good heart tones documented right before delivery. As opposed to not being able to get any or very poor ones.
  3. by   Gompers
    Quote from 33-weeker
    Another thing to consider is if there were good heart tones documented right before delivery. As opposed to not being able to get any or very poor ones.
    Good point. I believe this one reason why preemies do better during resuscitation than full term babies that are sectioned for distress. The preemies are often doing just fine until that cord is cut, then they're out of luck because their bodies are just not equipt to survive on their own yet. Once we warm them and get an airway, they usually respond nicely. But a big full term kid who has been having decels, is stuck, heart tones are poor, etc. is already depressed at birth. Much harder to resuscitate a body that has already gone without oxygen for a while.
  4. by   ElvishDNP
    Quote from babynurselsa
    The flip side of that is those stories get out and people do not realize that these are the EXCEPTION to the rule and think this happens in every case.
    Amen! If I had a nickel for every time I have a mom of a 26-weeker (and in our hospital more often than not she's addicted to at least 1 substance) says, "Oh, she's fine" about her NICU baby, I'd be able to quit my job.

    No, your baby is not fine. She is fighting like a mad dog to live despite the cocaine (or nicotine, or alcohol, pick your substance) you flooded her with for 26 weeks.
  5. by   RainDreamer
    Quote from Arwen_U
    Amen! If I had a nickel for every time I have a mom of a 26-weeker (and in our hospital more often than not she's addicted to at least 1 substance) says, "Oh, she's fine" about her NICU baby, I'd be able to quit my job.

    No, your baby is not fine. She is fighting like a mad dog to live despite the cocaine (or nicotine, or alcohol, pick your substance) you flooded her with for 26 weeks.
    No kidding. Or when that same crack-addicted mom thinks it's so cruel that we have to keep "sticking" the baby for IVs or labs .... and the "poor thing is hooked up to all this stuff". Um well yeah. Yeah God forbid we have to stick the baby for an IV, but the crack she did throughout the pregnancy was OK.

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