All of the following are signs of adequate breathing and circulation in the newborn except:

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Relaxation of the extremities is not a sign of adequate breathing and circulation in the newborn. Adequate signs include a heart rate greater than 100, absence of central cyanosis (cyanosis of only the hands and feet, known as acrocyanosis, is normal), and vigorous crying, which indicates good lung expansion and air exchange.

All of the Following Are Signs of Adequate Breathing and Circulation