NursingPlex
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    ATI Maternity proctored quiz
    Calculation

    A nurse is caring for a newborn and calculating the Apgar score. At 1 minute after delivery, the following findings are noted: heart rate of 110/min, slow weak cry, some flexion of extremities, grimace in response to suctioning of the nares, body pink in color with blue extremities. Calculate the newborn's Apgar score.

    Explanation & Rationale

    Step 1: Heart rate of 110/min scores 2 points (normal heart rate >100). Step 2: Slow weak cry scores 1 point (good strong cry scores 2, no cry scores 0). Step 3: Some flexion of extremities scores 1 point (active movement scores 2, limp scores 0). Step 4: Grimace in response to suctioning scores 1 point (coughing or sneezing scores 2, no response scores 0). Step 5: Body pink, blue extremities scores 1 point (completely pink scores 2, completely blue or pale scores 0). Step 6: Total Apgar score is the sum of the scores from each category: 2 + 1 + 1 + 1 + 2 = 7. Final calculated answer: 7.

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