Hesi Rn compass exit B proctored exam
In determining the one minute Apgar score of a neonate, the nurse assesses a heart rate of 120 beats per minute and 44 respirations per minute. The neonate has flaccid muscle tone with slight flexion and slight resistance to straightening, a loud cry with stimulation, and acrocyanotic color. Which is the correct Apgar score for this neonate?
Explanation & Rationale
Rationale: Heart rate: 120 bpm = 2 Respirations: 44/min with a loud cry = 2 Muscle tone: slight flexion with some resistance = 1 Reflex irritability: loud cry with stimulation = 2 Color: acrocyanosis (blue extremities) = 1 Total = 2 + 2 + 1 + 2 + 1 = 8
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