A neonate at birth was with weight of 3 kg,had bluish discoloration of toes and figures ,was having all limbs freely, cried loudly, RR was 20BPM ,PR 45bpm,what was neonate apgar score?

The Apgar score is a quick way to assess the health of a newborn baby at 1 and 5 minutes after birth. It is based on five criteria: heart rate, respiratory effort, muscle tone, reflex irritability, and color.

In this case, the neonate's Apgar score would be as follows:

- Heart rate: 1 point (PR of 45 bpm)
- Respiratory effort: 2 points (RR of 20 bpm)
- Muscle tone: 2 points (all limbs freely)
- Reflex irritability: 2 points (cried loudly)
- Color: 1 point (bluish discoloration of toes and fingers)

Adding up the points, the neonate's Apgar score would be 8 at 1 minute after birth.

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