The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)

A. Heart rate: Heart rate is a primary component of the Apgar score, with higher rates indicating better cardiovascular adaptation to extrauterine life. It is assessed immediately after birth and contributes significantly to the total score. B. Respiration: Respiratory effort, including the rate and quality of breathing, is evaluated for the Apgar score. Strong, regular respirations indicate good respiratory adaptation, while weak or absent effort suggests the need for intervention. C. Color: Skin color is assessed, including overall appearance and extremity coloration. A pink body and extremities contribute positively to the Apgar score, while pallor or cyanosis can lower the score and indicate hypoxia. D. Reflexes: Reflex irritability, often tested by response to stimulation such as a mild pinch, is included in the Apgar score. A vigorous cry or active movement indicates good neurologic responsiveness. E. Weight: Birth weight is not part of the Apgar assessment. While important for overall neonatal health and care planning, it does not contribute to the Apgar score.