Which symptom corresponds to a very bad APGAR score for activity?

A very bad APGAR score for activity indicates a lack of movement or muscle tone in the newborn, which is critical in the assessment of their immediate health status after birth. The APGAR score evaluates five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration.

In the context of activity, a score of 0 would be assigned if the newborn is limp and shows no movement whatsoever, reflecting significant concern for their neuromuscular status. A "limp, no movement" scenario signifies severe hypotonia, which could suggest central nervous system depression or significant distress at birth. This lack of movement is indicative of potential underlying issues such as hypoxia or asphyxia, conditions that require rapid medical intervention.

Other options represent varying degrees of movement and responsiveness, which would contribute to a higher APGAR score for activity. For instance, active motion or a strong cry indicate healthy muscular activity and respiratory function, fulfilling the criteria for a more favorable assessment. Therefore, the symptom that aligns with a very poor APGAR score for activity is precisely the absence of movement reflected by "limp, no movement."