APGAR Flashcards
when do we complete APGAR scoring?
min 1 and 5 of life
Which APGAR score indicates severe distress/full resuscitation?
0-3
which APGAR score indicates moderate difficulty
◦ Some resuscitation assistance needed; stimulation, suction, oxygen
4-6
which apgar score indicated minimal or no difficulty with adjusting to extrauterine life Routine post-delivery care
7-10
5 categories for scoring APGAR
HR RR Muscle Tone Reflex Irritability Color
absent HR
0
slow HR <100/min
1
HR > 100/min
2
absent RR
0
slow weak cry
(RR) 1
good cry
(RR) 2
muscle tone flacid
0
muscle tone with some flexion of extremities
1
muscle tone well flexed
2
reflex irritability none
0
grimace
(reflex irritability)
1
reflex irritaiblity- cry
2
color blue/pale
0
color pink body, cyanotic hands and feet (acrocyanosis)
1
color completely pink
2
Nursing newborn care at delivery
◦ #1 -Patent airway – clear the respiratory tract
◦ Suction mouth then nose with bulb syringe
◦ Dry and stimulate
◦ Place on mom’s abdomen
◦ Cover with a warm blanket
◦ Place cap on head
◦ Identification bands