• Consists of five physiological components

• Each component is assigned a score of 0, 1, 04

2 for a possible total score of 10.
• At the first minute and again at 5 minutes of
life
 0 1 2
A Activity (Mucle Limp Some flexion of Active motion
Tone) extremities
P Pulse Absent Slow, below More than 100
100 beats/min beats/min
G Grimace (reflex No response Grimace, frown Cough or
irritability) sneeze
A Appearance Blue or pale Body pink, Completely
extremities pink
blue
R Respiratory Absent Slow or Good cry
Effort irregular
• 7-10 – vigorous newborn adapting well to the
extrauterine environment
• If the 5 minute score is less than 7, continue to
score every 5 minutes