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The 5-minute Apgar of a baby delivered by C-section is recorded as 9 . The most likely reason for this score is: A. The mottled appearance of the trunk B. The presence of conjunctival hemorrhages C. Cyanosis of the hands and feet D. Respiratory rate of \(20-28\) per minute

Short Answer

Expert verified
Answer: C. Cyanosis of the hands and feet.

Step by step solution

01

Understand the Apgar Score System

The Apgar score is a quick assessment tool for evaluating the physical condition of a newborn baby immediately after birth. It is scored on five components: appearance, pulse, grimace response, activity, and respiration. Each component is given a score of 0, 1, or 2, and the total score ranges from 0 to 10.
02

Analyzing the Score of 9

An Apgar score of 9 indicates that the newborn is in excellent condition, with only a minor issue in one of the components. Now let's evaluate the given reasons for this score:
03

Evaluating Option A - Mottled Appearance of the Trunk

The appearance category in Apgar scoring assesses skin color, with 0 being completely blue or pale, 1 being blue at extremities or mottled, and 2 being completely pink. If the trunk has a mottled appearance, the baby would receive a score of 1, suggesting a possible reason for an Apgar score less than 10.
04

Evaluating Option B - Presence of Conjunctival Hemorrhages

Conjunctival hemorrhages are not part of the Apgar score assessment. Therefore, it won't be the reason for the given Apgar score.
05

Evaluating Option C - Cyanosis of the Hands and Feet

Cyanosis of hands and feet falls under the appearance component, similar to Option A. This would also give a score of 1 in the "appearance" category, again suggesting a possible reason for an Apgar score less than 10.
06

Evaluating Option D - Respiratory Rate of \(20-28\) per Minute

The respiratory rate is part of the respiration component of the Apgar score. A normal respiratory rate for a newborn is around \(30-60\) breaths per minute. Since this option shows a lower-than-normal respiratory rate, it is not a reason for the high Apgar score.
07

Select the Most Likely Reason for the Apgar Score

Based on the evaluations in Steps 3-6, Options A and C are both reasonable explanations for an Apgar score of 9 because they both involve a score of 1 in the appearance component. However, since Option C (cyanosis of the hands and feet) is a more common finding in healthy newborns, it is the most likely reason for this score. The answer is C. Cyanosis of the hands and feet.

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