What Apgar score should be assigned to a newborn with a heart rate of 130, cyanosis of hands and feet, and resistance to leg straightening?

To determine the appropriate Apgar score for the newborn described, we'll consider the components of the Apgar assessment. The Apgar score evaluates five criteria: heart rate, respiratory effort, muscle tone, reflex response, and skin color. Each criterion can receive a score of 0, 1, or 2, leading to a total score ranging from 0 to 10.

In this scenario:

• The heart rate is 130 beats per minute, which falls within the normal range (above 100 bpm). This would typically score a 2 for heart rate.

• Cyanosis of the hands and feet indicates a lack of oxygen in those areas, which suggests poor peripheral circulation. This could earn a score of 1 for color, as it reflects mild central cyanosis.

• The resistance to leg straightening points to decreased muscle tone and would score a 1.

Adding these scores together:

• Heart rate: 2

• Color (cyanosis): 1

• Muscle tone (resistance): 1

• Respiratory effort and reflex response must also be assessed, but given the information provided, if we assume reasonable performance in those categories, this newborn would likely score 2 for respiratory effort and 1 for reflex response (