Mount Wachusett Community College
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Newborn Assessment 
Respiratory and circulatory systems are 
required to rapidly adjust to life outside of 
the uterus. The establishment of respiratory function w/the cutting of the cord is 
the most critical extrauterine adjustment 
as air inflates the lungs with the first 
breath. 
APGAR SCORE-0 
Absent HR 
Absent RR 
Flaccid Muscle Tone 
No reflex irritability 
Blue, pale color 
APGAR SCORE-1 
HR <100 bpm 
Slow, weak cry 
Some flexion of extremities 
Grimace 
Pink body, cyanotic han...
NUR 222 Maternity Newborn Nursing Care and Complications of the Newborn