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Clinical Features score zero 1 2 Heart rate per minute Absent Less than one hundred Over 100 Respiration effort Absent Irregular gradual Regular Muscle tone Limpfloppy Some flexion of arms legs Well flexed active movement Reflex irritability nasal catheter No response Some movement grimace Cries Colour Blue pale Pink physique blue extremities Completely pink Causes of neonatal asphyxia and anoxia include placental accident abruptio placentae cord prolapse and rope compression maternal administration of medicine which depress respiration treatment brachioradial pruritus isoniazid 300 mg free shipping. And many individuals can tolerate dairy products for the first time after making this alteration. 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