At 1 minute after birth, a newborn has a heart rate of 110/min, a slow, irregular respiratory effort with a weak cry, some flexion of the extremities, a grimace when suctioned, and a pink body with blue hands and feet. What is the Apgar score?

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Answer: 6 points

Heart rate over 100 = 2; slow, irregular breathing with weak cry = 1; some flexion = 1; grimace = 1; acrocyanosis = 1. Total = 6. Scores of 7–10 are reassuring; 4–6 means moderate difficulty.

Source: AAP/ACOG. The Apgar Score (Committee Opinion 644)

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Review prenatal landmarks (fundal height, Naegele's rule, danger signs) and postpartum assessment (BUBBLE-HE).

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At 1 minute after birth, a newborn has a heart rate of 110/min, a slow, irregular respiratory effort with a weak cry, some flexion of the extremities, a grimace when suctioned, and a pink body with blue hands and feet. What is the Apgar score?

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