The answer is Energy cannot be created nor destroyed.
It takes place in cytoplasm
APGAR is an assessment of how a baby is doing right after the mother gives birth. It identifies if the newborn is ready to meet the world without any further medical assistance. It is compose of 5 aspects namely Appearance,pulse,grimace,activity and respiration and being rate each from 0-2 and the sum of all these would indicate if the baby is healthy or not. In this situation, the baby scores 1 for appearance, pulse and respiration. He or she might score 7-5 which means an unhealthy baby and requires immediate attention like further suctioning and oxygen.
