This case involves a 20-week preterm neonate with conflicting Apgars recorded post delivery. Following the second Apgar reading, the neonate was presumed dead and taken to a warmer. Because of the estimated gestational age, the neonate was not given any NICU intervention. It was also noted that there was no documented discussion between the mother and the physician regarding intervention considerations prior to delivery. Approximately 30 minutes post delivery, the father went to visit the neonate and heard a cry from the warmer. The father alerted the NICU staff and they intervened with appropriate management. The neonate was recorded with grade 4 bleeding in the brain and passed away 8 days later. NICU maturational assessment later placed the neonate at approximately 25 weeks gestation. It was alleged that the neonate was not initially given proper NICU intervention because of the incorrect gestational age reading. A neonatologist was sought to opine on the standard of care in this case and determine if a more accurate gestational age reading would have changed the post-natal course.