Health Promotion & Maintenance: Apgar Scoring

What is the APGAR scale?

It’s a quick OBJECTIVE method to comparatively evaluate the VITAL FUNCTIONS of the nweborn.

When is APGAR scoring performed on infants?

At 1 minute, and again at 5 minutes after birth.

Name the 5 criteria that are recorded on an APGAR scale.

Cardiovascular statues, Respiratory effort, muscle tone, neuromuscular irritability (reflexes) and color.

The total APGAR score can range from ___ to _____.

0 to 10

The MAXIMUM score an infant can receive on any one criterion of the APGAR is __.

2

The lowest score an infant an receive on any oe criterion of the APGAR is ___.

0

A 10 on the APGAR means the baby is _____.

In excellent health.

A 0 on the APGAR is (bad/good)

BAD, the baby is a stillborn

On HR or cardiac status, a 2 emans that the HR is (above/below) ____ beats per minute.

Above, 100.O

n the HR criteria an infant scores a “1” if their HR is (greater/lesser) than 0 but less than _____.

Greater, 100

In order to score a 0 on HR the infant must have a rate of ____.

Zero

A high score of 2 is given for the respiratory effort if the newborn _____ ______.

Cries vigorously

An infant is given a score of 1 if their respirations are _____ or ____.

slow, irregular

An infant is given a score of 0 for respiratory effort if ________.

They DON’T breathe.

In order to get a score of 2 on muscle tone the infant must ___ ______.

Move spontaneously (actively)

To get a score of 1 on the APGAR for muscle tone the newborn must place their extremities in ______.

Flexion (curved inward to the body; visually think of extension of the arm [extending arm out away from body] and flexion of the arm [flexing arm inwards toward the body])

A newborn receives a scofre of 0 on muscle tone when there is _________.

No Movement (limp).

To score the maximum of 2 points on neuromuscular reflex irritability the infant must ______.

Cry

If the neonate ______, they will score a 1 on neuromuscular irritability.

Grimaces

To receive a 0 on reflex (neuromuscular irritability) the neonate must exhibit _______.

No response

To score a maximum score of 2 on color the child must be ______ _______.

Totally pink.

If the child’s ____ are _____ the trunk-face-abdomen are _______, the child score a 1 on color.

Extremities are blue (cyanotic), pink.

To get a 0 on color the infant is _____/______.

Totally blue, pale.

When a healthy child receives a 9 on the APGAR, they most likely get a 1 on _____.

Color, most healthy babies have acrocyanosis on the 1-minute APGAR, but get a 10 on the 5 minute. (Acrocyanosis is blue extremities, pink body).