A 28-year-old client has just given birth. At one minute the baby appears healthy, with the exception of bluish hands. Which of the following would the nurse midwife pronounce?

  • The Apgar score is 11.
  • The Apgar score is 9.
  • The Apgar score is 6.
  • The Apgar score is 4.
Number 2 is correct.
Apgar scoring consists of 5 areas (muscle tone, heart rate, reflex response, color, breathing) with a possible score of 0, 1, or 2 for each area. An Apgar of 9 is correct: four of the five categories for this example rate a score of 2 (subtotal of 8) with 1 point for good color with bluish hands (or feet). The maximum score achievable is 10. A score of 4 or 6 will require support, typically in breathing.