10.02 APGAR SCORE
Scoring system designed by Virginia Apgar is the most commonly used instrument for evaluating a newborn's condition upon delivery. Scores are given at one minute and five minute intervals following birth.
|Appearance||Pale / blue||Pink body, blue extremities||Pink body, pink extremities|
|Pulse||Absent||Less than 100||100 or greater|
|Grimace||No response||Grimace||Cough, sneeze|
|Respiratory effort||Absent||Slow, irregular||Strong crying|
Assess and Support:
- Temperature (warm and dry)
- Airway (position and suction)
- Breathing (stimulate to cry)
- Circulation (heart rate and color)
Inverted pyramid reflecting relative frequencies of neonatal resuscitation efforts for the newborn who does not have meconium-stained amniotic fluid. Note that a majority of newborns respond to simple measures.