A term newborn is evaluated at 1 minute of life: heart rate is 120 bpm, respiratory effort is vigorous with a strong cry, muscle tone shows active motion of all extremities, grimace response displays a sneeze upon nasal suctioning, and body is pink with blue extremities (acrocyanosis). What is this neonate's 1-minute APGAR score?
Answer and explanation
Correct answer: D. 9
- Step 1: Calculate the 5 APGAR components (0-2 each): Heart rate > 100 bpm = 2; Respiratory effort strong cry = 2; Muscle tone active movement = 2; Reflex irritability sneeze = 2; Appearance pink body with blue extremities (acrocyanosis) = 1.
- Step 2: Sum of scores: .
Answer
9.
Why not the others: '10' requires completely pink skin including extremities (no acrocyanosis); '8' deducts two points; '7' deducts three points.
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