Which of the following is NOT a part of the APGAR assessment?

The APGAR assessment is a quick and systematic method for evaluating a newborn's physical condition immediately after birth and determining any immediate need for extra care. The acronym APGAR stands for five measurable criteria: Appearance, Pulse, Grimace response, Activity, and Respiratory effort. Each of these criteria is scored on a scale of 0 to 2, with a maximum total score of 10.

In this context, "Reflection" is not part of the APGAR assessment, making it the correct answer to identify as not a part of the tool. The criteria that do belong to the APGAR assessment focus on various aspects of the newborn's health, including muscle tone and movement (Activity), heart rate (Pulse), and reaction to stimulation (Grimace response). Using these specific parameters allows healthcare providers to quickly identify the need for intervention based on the newborn's condition right after birth.