APGAR SCORE

An apgar score is taken on every newborn at 1minute and 5 minutes after

birth. It permits a rapid assessment of the need for resuscitation and is based
on five signs: The heart rate, respiratory effort, muscle tone, reflex
irritability and color.

Scores of 0-3 indicate severe distress, scores of 4-6 indicate moderate

difficulty, and a score of 7-10 indicates that the infant will not have
difficulty adjusting to extrauterine life.

The apgar scores do not predict future neurologic outcome, but the 5 minute

m
er as
score does correlate with the degree of risk for neonatal morbidity and

co
mortality.

eH w
o.
When the infant is 1st born, make sure they are breathing adequately. Have a
rs e
bulb syringe, suction and oxygen available to help clear the airway if
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needed.
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Apgar Score
aC s
vi y re

Sign 0 1 2
Appearance Pale Blue Body pink, blue Completely Pink
ed d

(Color) extremities
ar stu

Pulse Absent Slow < 100 > 100

(Heart Rate)
Grimace None Grimace Vigorous Cry
is

(Reflex Irritability)
Activity Flaccid Some flexion of Active motion, well
Th

(Muscle Tone) extremities flexed

Respiration Absent Slow, irregular, Good Strong Cry
(Respiratory Effort) weak cry
sh

L Garcia
7/15/13

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