Question

A newborn is limp and cyanotic immediately after delivery. She is unresponsive to initial stimulation. Her Apgar score is 6. What should you do?

a) Administer oxygen
b) Begin chest compressions
c) Assess and support airway
d) Perform a lumbar puncture

Answer 1

In response to a newborn with an Apgar score of 6, limpness, and cyanosis, the recommended action is to assess and support the airway, potentially administering oxygen if respiration is inadequate. Chest compressions and lumbar puncture are not immediate steps for this scenario.

Step-by-step explanation:

When a newborn is limp and cyanotic and has an Apgar score of 6 immediately after birth, the correct action would be to assess and support the airway. A low Apgar score, particularly below 7, suggests that the baby may need medical assistance. The Apgar score assesses five criteria immediately after birth to evaluate the infant's transition to the outside world. These criteria include appearance, pulse, grimace, activity, and respiration. Since the baby is unresponsive and has poor muscle tone, supporting the airway is critical and may involve administering oxygen if the baby is still not breathing well. Beginning chest compressions or performing a lumbar puncture are not the immediate steps to take in response to the given Apgar score and symptoms.