A newborn infant delivered at 38 weeks gestation is evaluated at 1 minute post-delivery: heart rate is 120 bpm (2 points), vigorous crying with strong respiratory effort (2 points), active motion with flexed extremities (2 points), grimace and sneeze upon nasal suction (2 points), and pink body with blue hands and feet (acrocyanosis, 1 point). What is the total 1-minute Apgar score?
Answer and explanation
Correct answer: B. 9 out of 10
- Step 1: The Apgar score grades 5 physiological criteria from 0 to 2: Appearance, Pulse, Grimace, Activity, Respiration.
- Step 2: Here: Pulse = 2, Respiration = 2, Activity = 2, Grimace = 2, Appearance = 1 (acrocyanosis). Total = 2 + 2 + 2 + 2 + 1 = 9.
Answer
9 out of 10.
Why not the others: '10 out of 10' incorrectly gives 2 points for Appearance despite blue extremities; '8 out of 10' undercounts respiratory effort; '7 out of 10' represents mild neonatal depression.
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