Sam was just born, and his skin looks blue, his heartbeat is rapid, and he is crying. He is also rather weak and inactive and has slow respiration. What is his Apgar score?

The Apgar score is 3 or less ...

Explanation:

The present symptoms of Sam show that he is in Respiratory Distress (It happens in some neonates or newborns because of the less lipo-protien surfactant concentrations in their lungs). Patients like Sam require immediate attention upon birth. Otherwise, their bodies can become severely hypoxic.