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?
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.
