APGAR - Chart
APGAR Scoring for Newborns
| Sign | 0 Points | 1 Point | 2 Points | |
|---|---|---|---|---|
A | Activity (Muscle Tone) | Absent | Arms and Legs Flexed | Active Movement |
P | Pulse | Absent | Below 100 bpm | Above 100 bpm |
G | Grimace (Reflex Irritability) | No Response | Grimace | Sneeze, cough, pulls away |
A | Appearance (Skin Color) | Blue-gray, pale all over | Normal, except for extremities | Normal over entire body |
R | Respiration | Absent | Slow, irregular | Good, crying |
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•Each category is scored with 0, 1, or 2, depending on
the observed condition.
•Breathing effort:
–If the infant
is not breathing, the respiratory score is 0.
–If the
respirations are slow or irregular, the infant scores 1 for respiratory effort.
–If the infant
cries well, the respiratory score is 2.
•Heart rate is evaluated by stethoscope. This is the
most important assessment:
–If there is no
heartbeat, the infant scores 0 for heart rate.
–If heart rate
is less than 100 beats per minute, the infant scores 1 for heart rate.
–If heart rate
is greater than 100 beats per minute, the infant scores 2 for heart rate.
•Muscle tone:
–If muscles are
loose and floppy, the infant scores 0 for muscle tone.
–If there is
some muscle tone, the infant scores 1.
–If there is
active motion, the infant scores 2 for muscle tone.
•Grimace response or reflex irritability is a term
describing response to stimulation such as a mild pinch:
–If there is no
reaction, the infant scores 0 for reflex irritability.
–If there is
grimacing, the infant scores 1 for reflex irritability.
–If there is
grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex
irritability.
•Skin color:
–If the skin
color is pale blue, the infant scores 0 for color.
–If the body is
pink and the extremities are blue, the infant scores 1 for color.
–If the entire
body is pink, the infant scores 2 for color.
NSU - SLP 6000 PPT (c) 2015
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