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A 27-year-old G2P1 woman gives birth to a 2000-g (4.4-lb) boy by spontaneous vaginal delivery at 35 weeks’ gestation. There are no complications during pregnancy or delivery. Maternal serologic tests are negative. At 1 minute, the child is receiving blow-by oxygen and pulse is 87 beats per minute. There is some facial movement upon stimulation. Irregular and weak breathing is present. Acrocyanosis is also noted and the baby has weak flexion of the extremities. At 5 minutes the neonate is receiving bag-mask ventilation and pulse is 68 beats per minute. Breathing is still labored. He now appears to be somewhat “floppy” and doesn’t respond to a stimulus. His hands and feet still appear “bluish”.
What are the Apgar scores at 1 and 5 minutes?
A. 4 at 1 minute and 2 at 5 minutes
B. 4 at 1 minute and 3 at 5 minutes
C. 5 at 1 minute and 3 at 5 minutes
D. 6 at 1 minute and 4 at 5 minutes
E. 9 at 1 minute and 7 at 5 minutes
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