Consider the following in a newborn:1. Heart rate of 1102. Slow and irregular respiratory effort3. Flaccid muscle tone4. No reflex irritability5. Blue colourWhat is the Apgar score in this case?

Ans. is b, i.e. 3Ref. Dutta Obs. 7/e. p 47CSigns012* Respiratory effortAbsentSlow, irregularGood, crying* Heart rateAbsentSlow (< 100)> 100* Muscle toneFlaccidFlexion of extremitiesActive body movement* Reflex irritabilityNo responseGrimaceCry* ColourBlue, paleBody pink, extremities blueComplete pinkTotal score =10No depression =7-10Mild depression =4-6Severe depression =0-3In this case:Heart rate = 110 means score of 2Respiratory effort = slow and irregular means a score of 1Muscle flaccid = score 0Blue color = score 0Totalscoreinthiscase=3Reflexirritabilitynone=0