Medical MCQ-A baby assessed at 5 minutes after bih is found to be blue with irregular gasping respiration. Hea rate(HR) is 60 beats/min, and a grimace is seen with some flexion of extremities. The Apgar score for this newborn is _______

A baby assessed at 5 minutes after bih is found to be blue with irregular gasping respiration. Hea rate(HR) is 60 beats/min, and a grimace is seen with some flexion of extremities. The Apgar score for this newborn is _______

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In this baby: Color: Score 0 Hea rate, < 60 beats/min: score 1 Grimace: score 1 Some flexion of the extremities: score 1 Irregular respiration: Score 1 Thus total score is 4 APGAR SCORING SYSTEM: Appearance 0 points 1 point 2 points Appearance (Skin color) Blue/Pale Pink body, blue extremities Pink Pulse Absent <100 BPM >100 BPM Grimace (reflex irritability) No response Minimal response to stimulation Cough/sneeze when stimualated Activity Floppy Some flexion Well flexed Respiratory effos Absent Slow and irregular Strong cry At 1 minute and 5 minutes after bih of the infant, the 5 objective signs listed here are evaluated and each is given a score of 0,1 or 2 A total score of 10 indicates that the infant is in the best possible condition An infant with a score of 0-3 requires immediate resuscitation Ref: Nelson textbook of pediatrics 21st edition pgno: 872

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