This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: New born infants, Subject name: Pediatrics
All the following are essential criteria for perinatal asphyxia except 
Select and explain. 
A. Prolonged metabolic alkalosis, B. Persistence of Apgar score of 0-3 for >5 min, C. Hypoxic ischemic encephalopathy (HIE) in the immediate neonatal period, D. Evidence of multiorgan dysfunction in the immediate neonatal period
A: Prolonged metabolic alkalosis
Answer: A: Prolonged metabolic alkalosis 
Explanation: Essential criteria for perinatal asphyxia Prolonged metabolic or mixed acidemia (pH <7.0) on an umbilical aerial blood sample Persistence of Apgar score of 0-3 for >5 min Neurological manifestations, e.g. seizures, coma, hypotonia or hypoxic-ischemic encephalopathy (HIE) in the immediate neonatal period Evidence of multiorgan dysfunction in the immediate neonatal period Ref: Paediatrics; O.P. Ghai; 8th edition; Page no: 166