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Cleansweep RN

APGAR Score

  • Coined in the US as a mnemonic learning aid: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration.
  • Named in honor of Dr. Virginia Apgar, anesthesiologist who pioneered in the care of newborn
  • A method of rapidly assessing the general state of a baby immediately after birth
  • A maximum of 2 points is given for each of the following signs
  • Usually measured at one minute and five minute after delivery
  • A low score on the one-minute test may show that the neonate requires medical attention
  • If the score remains below 3 for more than 30 minutes, there is a risk that the child will suffer longer-term neurological damage.

APGAR Scoring Chart

Sign

Score


0

1

2

Heart Rate

Absent

Slow (<100)

(> 100beats)

Respiratory Effort

Absent

Slow, irregular, weak cry

Good, strong cry

Muscle Tone

Flaccid

Some flexion of extremities

Well flexed

Reflex Irritability

No response

Grimace

Cry and withdrawal of foot

Color

Blue, pale

Body pink, extremities blue

Completely pink


Interpretation of APGAR score:

  • 7 – 10 = Good
  • 4 – 6 = condition should be guarded; baby may need clearing of the airway and supplementary oxygen
  • 3 – 0 = baby is in serious danger and needs resuscitation

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