An infant is described as blue all over or pale, with a heart rate of 60, no cough or sneeze, limp, and slow, irregular weak cry. What is the APGAR score?

To determine the APGAR score, each of the five criteria—heart rate, respiratory effort, muscle tone, reflex response, and skin color—is assessed and given a score from 0 to 2, with a total possible score of 10.

In this scenario, the infant shows characteristics that can be scored as follows:

• Color: The infant is described as blue all over or pale, which typically indicates a score of 0 for skin color since blue or pale suggests cyanosis, a sign of poor oxygenation.

• Heart Rate: A heart rate of 60 is indicative of bradycardia. This would score a 0, as a normal heart rate should be above 100 beats per minute for infants.

• Respiratory Effort: There is no mention of cough or sneeze; such indications of respiratory effort would result in a score of 0 for this criterion.

• Muscle Tone: The infant is described as limp, suggesting little to no muscle tone. This would also receive a score of 0.

• Reflex Response: The description includes a "slow, irregular weak cry," which may indicate some reflex response, but it's weak enough that it could likely be considered as a