DE JESUS, JUSTINE V.

BSN2A

Apgar Scoring
Done at 1st minute of life and 5th minute of life

Criteria 0 1 2
Appearance Pale or blue Acrocyanosis Totally Pink
Pulse Rate absent Less than 100 100 or more
Grimace No response Grimace Cough or sneeze
Activity Limp or flaccid Some flexion Active movement
Respiration Absent Slow or irregular Normal rate

Score Interpretations

7-10 Good condition Infant will do well in normal

newborn nursery
4-6 Moderately depressed Infant needs specialized
intensive care
0-3 Severely depressed Infant needs CPR
Prognosis of newborn is grave

Newborn Screening (Philippine Edition)

A procedure performed to determine if infant has congenital metabolic disorder that may lead to
mental retardation and even death if left untreated.

Heel prick method- a few drops of blood are taken and blotted on a special absorbent filter
card.

1. Congenital Hypothyroidism (CH)

- most common, absence or lack of thyroid hormone which is essential to growth of the
brain and the body

2. Congenital Adrenal Hyperplasia (CAH)

- most rare but dangerous because it can cause death within 9-13 days, causes
severe salt loss, dehydration, & abnormally high levels of male sex hormones
 3. Galactosemia (GAL)

- Unable to process galactose. Excessive

galactose in the blood can cause liver damage, brain damage & cataracts

4. Phenylketonuria (PKU)

- Unable to process phenylalanine

(Building blocks of CHON), causes brain damage

5. Glucose 6 Phosphate Dehydrogenase Deficiency (G6PD Def)

- lacks the enzyme G6PD, prone to hemolytic anemia once

exposed to oxidative substances found in drugs, food, & chemicals