National Board of Chiropractic Examiners (NBCE) Practice Test

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The Apgar score is based on evaluation of the newborn's what?

  1. Weight and height

  2. Vital signs and reflexes

  3. Nutritional status

  4. Developmental milestones

The correct answer is: Vital signs and reflexes

The Apgar score is designed to quickly assess the health of a newborn immediately after birth. It is based on five criteria: appearance (skin color), pulse (heart rate), grimace response (reflexes), activity (muscle tone), and respiration (breathing effort). Each criterion is scored from 0 to 2, with higher total scores indicating better overall health. The focus on vital signs and reflexes in the Apgar score is crucial, as these parameters provide essential insights into the newborn's physiological status and immediate adaptation to life outside the womb. This assessment is particularly important for identifying any immediate medical issues that may require intervention. Other choices, such as weight and height, nutritional status, and developmental milestones, do not directly relate to the Apgar score. Weight and height are assessed separately as part of a newborn's physical examination, while nutritional status and developmental milestones are evaluated later in the infant's growth and development, not immediately after birth.