Back to AI Flashcard MakerNursing /Simmons NURP 502 Exam 1 1: Yale Observational Scale
Score 1, 3, or 5. Hydration: Skin normal. Eyes normal. Mucous membranes normal.
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Key Terms
Term
Definition
Score 1, 3, or 5. Hydration: Skin normal. Eyes normal. Mucous membranes normal.
1
Score 1, 3, or 5. Whimpering or sobbing.
3
Score 1, 3, or 5. Falls asleep or will not arouse.
5
Score 1, 3, or 5. Eyes closed briefly while awake or awake with prolonged stimulation.
3
Score 1, 3, or 5. Skin and eyes normal and mouth slightly dry.
3
Score 1, 3, or 5. Unsmiling, anxious face or dull expression or not alert (<2 mo).
5
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| Term | Definition |
|---|---|
Score 1, 3, or 5. Hydration: Skin normal. Eyes normal. Mucous membranes normal. | 1 |
Score 1, 3, or 5. Whimpering or sobbing. | 3 |
Score 1, 3, or 5. Falls asleep or will not arouse. | 5 |
Score 1, 3, or 5. Eyes closed briefly while awake or awake with prolonged stimulation. | 3 |
Score 1, 3, or 5. Skin and eyes normal and mouth slightly dry. | 3 |
Score 1, 3, or 5. Unsmiling, anxious face or dull expression or not alert (<2 mo). | 5 |
Score 1, 3, or 5. Skin doughy or tented, dry mucous membranes, and/or sunken eyes. | 5 |
Score 1, 3, or 5. Color is acrocyanotic or pale extremities. | 3 |
Score 1, 3, or 5. Strong cry with normal tone or contentment without crying. | 1 |
Score 1, 3, or 5. Briefly smiling or alert briefly (<2 mo). | 3 |
Score 1, 3, or 5. Reaction to parent stimulation is brief crying that stops or contentment without crying. | 1 |
Score 1, 3, or 5. Color is pink. | 1 |
Score 1, 3, or 5. Smiling or alert (<2 mo). | 1 |
Score 1, 3, or 5. Reaction to parent stimulation is intermittent crying. | 3 |
Score 1, 3, or 5. Weak cry, moaning, or high-pitched cry. | 5 |
Score 1, 3, or 5. If awake, stays awake. If asleep, wakes quickly upon stimulation. | 1 |
Score 1, 3, or 5. Reaction to parent stimulation is continual crying or limited response. | 5 |
Score 1, 3, or 5. Color is pale, cyanotic, mottled, or ashen. | 5 |