Which factor is NOT included in the APGAR score evaluation?

The APGAR score is a quick assessment tool used to evaluate the health of newborns immediately after birth. It focuses on five criteria: Appearance (skin color), Pulse (heart rate), Grimace response (reflexes), Activity (muscle tone), and Respiration (breathing rate). The scores for these criteria help healthcare providers determine if a newborn requires immediate medical attention.

While breathing rate is indeed an important aspect of assessing a newborn’s condition, it is specifically categorized as "Respiration" in the APGAR scoring system, rather than assessed in the more general term of "breathing rate." Thus, this contributes to the understanding that "breathing rate" itself is not one of the APGAR score evaluation factors.

The correct answer highlights that "breathing rate," as such, does not appear in the list of factors used to calculate the APGAR score, leaving the other criteria—appearance, heart rate, and grimace—central to this quick assessment.