The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
A. The mottled appearance of the trunk
B. The presence of conjunctival hemorrhages
C. Cyanosis of the hands and feet
D. Respiratory rate of 20–28 per minute
Correct Answer: C. Cyanosis of the hands and feet
Option C: Although cyanosis of the hands and feet is common in the newborn, it accounts for an Apgar score of less than 10.
Option A: Mottled appearance of the trunk suggests cooling, which is not scored by the Apgar.
Option B: Conjunctival hemorrhages are not associated with the Apgar.
Option D: Respiratory rate is within the normal range as measured by the Apgar.