A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities.

Calculate the newborn's Apgar score.

Rationale:

A. Applying petroleum jelly to the cord stump is not recommended as it can delay drying and increase the risk of infection.

B. Washing the cord stump daily with soap and water is not recommended as it can also delay drying and increase the risk of infection. Keeping the cord stump clean and dry is important.

C. Giving a sponge bath until the cord stump falls off helps keep the area clean and dry, reducing the risk of infection. Immersion in water should be avoided until the cord stump has completely dried and fallen off.

D. Covering the cord stump with the diaper can lead to moisture buildup, which increases the risk of infection. It's best to fold the diaper down below the cord stump to keep it exposed to air and allow for faster drying.

Rationale:

A. Smiles when a parent appears: This is a social and emotional developmental milestone typically achieved by an 8-month-old infant and is not indicative of cerebral palsy.

B. Sits with pillow props: Difficulty sitting without support or requiring props to maintain a sitting position can be a manifestation of cerebral palsy, reflecting motor delays and impaired muscle control.

C. Tracks an object with eyes: Tracking objects with eyes is a visual developmental milestone and does not directly relate to cerebral palsy.

D. Uses a pincer grasp to pick up a toy: The pincer grasp typically develops around 9 to 12 months of age and is not directly related to cerebral palsy.