Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 38 - week newborn is born to a 30 - year - old through vaginal birth. A minute after birth, a midwife obtains the newborn’s APGAR score with the following assessment findings: flexed arms and legs with some active movement, a pulse rate of 110 beats per minute, grimace after inserting a tube through a nostril, pink skin tone except for the hands and feet and regular breathing pattern with a good cry. What is the newborn’s APGAR score?
  1. 6
  2. 7
  3. 8
  4. 9
Explanation
Answer: B - The newborn’s APGAR score is 7. APGAR scoring is performed 1 minute and 5 minutes after birth. This scoring system assesses five components:

§Activity, or muscle tone
§Pulse
§Grimace, or reflex irritability
§Appearance, or skin color
§Respiration

The newborn’s APGAR score is calculated as follows: flexed arms and legs with some movement = 1; pulse rate above 100 = 2; grimacing = 1; pink skin tone except for the hands and feet = 1; a good cry and regular breathing pattern = 2. 1+2+1+1+2 = 7.
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