What Apgar score should the nurse document for a newborn with pink body, blue extremities, heart rate of 122, and vigorous movement one minute after birth?

The Apgar score is a quick assessment tool used to evaluate the physical condition of a newborn immediately after birth. It assesses five criteria: appearance (color), pulse (heart rate), grimace response (reflexes), activity (muscle tone), and respiration (breathing effort), each scored from 0 to 2, with a total possible score of 10.

In this scenario, the newborn's color is described as having a pink body with blue extremities, which typically indicates a score of 1 for appearance, as full pink coloration is ideal while blue extremities suggest mild cyanosis. The heart rate is at 122 beats per minute, which receives a score of 2, since any heart rate above 100 is considered normal. The vigorous movement denotes active muscle tone, scoring a 2.

While the grimace response is not explicitly mentioned, if the newborn is displaying vigorous movement, it usually suggests some level of reflex response, which typically would score at least a 1. However, without specific information on grimace or respiration, the more conservative approach would be to assume it’s a score of 1 for grimace response, especially if no crying or other reflex actions are noted.

Given this breakdown, the