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A nurse assesses a newborn as follows: heart rate is 112 beats/minute; respiratory effort: slow, irregular, with a weak cry; muscle tone: some flexion of the extremities; reflex irritability: grimace; color: pink. What Apgar score does the nurse give this infant?

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Final answer:

The newborn's Apgar score would be 7, calculated as 2 points each for pink skin color and heart rate of 112 beats/minute, and 1 point each for reflex irritability, muscle tone, and slow and irregular respiration. An Apgar score of 7 is at the lower end of normal, indicating the baby is not in immediate danger but may require some medical assistance.

Step-by-step explanation:

The Apgar score, used to assess the general well-being of a newborn, is based on a quick evaluation across five criteria: skin color, heart rate, reflex irritability, muscle tone, and respiration. The heart rate of 112 beats per minute and the pink skin color typically would each earn a score of 2, as these are within the normal range. However, the slow and irregular respiratory effort with a weak cry, some flexion in the extremities indicating moderate muscle tone, and just a grimace to reflex irritability, would each typically receive a score of 1. Thus, the Apgar score for the described infant would be the sum of these individual scores.

Apgar Score Calculation:

  • Appearance (skin color): Pink - 2 points
  • Pulse (heart rate): 112 beats/minute - 2 points
  • Grimace (reflex irritability): Grimace - 1 point
  • Activity (muscle tone): Some flexion of extremities - 1 point
  • Respiration: Slow, irregular, weak cry - 1 point

Adding up these scores gives us a total Apgar score of 7.

An Apgar score of 7, while at the lower end of what is considered normal, typically indicates that the newborn may need some medical assistance but is not in immediate danger. The critical consideration for scores is at the 5-minute mark, where a score lower than 7 might indicate an increased need for intervention. For this newborn, a score of 7 suggests that there might be minor adjustments needed but does not necessarily signal an emergency situation.

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