Topic Breakdown of ANMAC Registered Nurse Exam

ANMAC Registered Nurse (ANMAC) Practice Tests & Test Prep by Exam Edge

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ANMAC Nursing and Midwifery Accreditation Registered Nurse Sample Test

1 of 5

If a newborn exhibits blue extremities and the body is pink, the APGAR score should be which of the following?

Correct Answer:

1

0 the apgar score is a quick test performed on a newborn at 1 and 5 minutes after birth. the score is determined by evaluating the newborn baby on five simple criteria on a scale from 0 to 2, then summing up the five values thus obtained. the five criteria are appearance (skin color), pulse (heart rate), grimace response (reflexes), activity (muscle tone), and respiration.

1 in the scenario described, the baby exhibits blue extremities with a pink body. this condition is specifically relevant to the 'appearance' criteria of the apgar score. under this criterion, a score of 0 is given if the baby's whole body is blue or pale, a score of 1 is given if the body is pink but the extremities are blue (as in this case), and a score of 2 is assigned if the entire body is completely pink.

2 the presence of blue extremities suggests that not all parts of the baby’s body are receiving an adequate supply of oxygen. this can occur due to a variety of reasons including peripheral vasoconstriction where blood flow is more focused towards the vital organs shortly after birth. although it indicates a need for further monitoring and possibly intervention, it is not uncommon and may resolve as the baby's circulatory system adapts post-delivery.

3 thus, according to the apgar scoring system, a newborn with pink body but blue extremities would receive a score of 1 for the appearance category. it is essential to consider that the overall apgar score also includes assessments of heart rate, reflexes, muscle tone, and respiration. each of these criteria can significantly affect the management and clinical decision-making for the newborn’s care immediately after birth.