A newborn presents with central cyanosis, weak muscle tone, weak cry, heart rate of 120, and slight facial grimace. What is the calculated APGAR score and the indicated intervention?

Prepare for the Chicago EMT Test. Use flashcards and multiple-choice questions, detailed explanations, and hints to get ready for your exam! Enhance your skills today!

The APGAR score provides a quick assessment of a newborn's physical condition immediately after birth. It evaluates five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration, each scored from 0 to 2.

In the scenario provided, the infant exhibits central cyanosis (which affects appearance), weak muscle tone (which relates to activity), a weak cry (related to the grimace response), a heart rate of 120 (which is generally satisfactory for pulse), and a slight facial grimace (also contributing to the grimace score).

The scoring for this newborn can be broken down as follows:

  • Appearance (Skin Color): Central cyanosis likely scores 0 (blue) since the infant is not well-perfused.

  • Pulse (Heart Rate): Heart rate of 120 scores a 2, indicating that the pulse is normal.

  • Grimace response (Reflexes): A weak cry indicates minimal response, scoring 1.

  • Activity (Muscle Tone): Weak muscle tone also scores 1 due to decreased activity.

  • Respiration: Given the weak cry, it would score 1.

Adding these scores results in an APGAR score of 5.

In terms of intervention, the most appropriate action

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy