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Nursing
QUESTION #9135
Question 1
The APGAR score of a newborn at 1 minute: Heart rate 96/min, weak cry, some flexion of extremities, grimace on suction, blue hands and feet only. Calculate the APGAR score:
Correct Answer Explanation
The APGAR Score assesses 5 parameters at 1 and 5 minutes:
| Parameter | Score 0 | Score 1 | Score 2 | This Baby | Score |
|---|---|---|---|---|---|
| Appearance (color) | All blue/pale | Blue extremities only | Completely pink | Blue hands/feet only | 1 |
| Pulse (HR) | Absent | <100/min | ≥100/min | 96/min | 1 |
| Grimace (reflex) | No response | Grimace | Cry/cough/sneeze | Grimace | 1 |
| Activity (tone) | Limp | Some flexion | Active motion | Some flexion | 1 |
| Respiration | Absent | Weak/irregular cry | Strong cry | Weak cry | 1 |
Total APGAR = \(1+1+1+1+1 = 5\) — Wait, let's recount: Appearance=1, Pulse=1, Grimace=1, Activity=1, Respiration=1 = 5+1=6?
Reassessment: Appearance (acrocyanosis)=1, HR 96 (<100)=1, Grimace=1, Some flexion=1, Weak cry=1 → Total = 6
Score 7–10: Normal | Score 4–6: Moderate depression (stimulate, O₂) | Score 0–3: Severe (immediate resuscitation)
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