Apgar

Question 1

What is an Apgar score?

Answer 1

A clinical assessment of a newborn’s health given shortly after birth

Question 2

What are the five characteristics assessed in an Apgar score?

Answer 2

• Skin color
• Heart rate
• Breathing
• Muscle tone
• Reflexes

Question 3

How is each characteristic scored in an Apgar assessment?

Answer 3

On a scale of 0 to 2, with 2 being the best score

Question 4

What is the total score range for an Apgar score?

Answer 4

Between 0 and 10

Question 5

When are Apgar scores typically taken after birth?

Answer 5

At 1 and 5 minutes after birth

Question 6

What does a higher Apgar score indicate?

Answer 6

The baby is doing better

Question 7

What does a score of 7 or more indicate?

Answer 7

The baby is adapting well

Question 8

What does a score of less than 7 indicate?

Answer 8

The baby may need extra emergency care

Question 9

What should be done if the Apgar score is less than 7 at 5 minutes?

Answer 9

The baby may be tested again at 5-minute intervals until 20 minutes old

Question 10

What does a score of 0 for more than 10 minutes suggest?

Answer 10

Resuscitative efforts should be suspended

Question 11

Who created the Apgar scoring system?

Answer 11

Virginia Apgar

Question 12

What does the ‘A’ in APGAR stand for?

Answer 12

Appearance

Refers to skin coloration of the newborn.

Question 13

What does the ‘P’ in APGAR represent?

Answer 13

Pulse

Indicates the heart rate of the newborn.

Question 14

What does the ‘G’ in APGAR signify?

Answer 14

Grimace

Refers to the reflex response or irritability of the newborn.

Question 15

What does the ‘A’ in APGAR also denote?

Answer 15

Activity

Indicates muscle tone of the newborn.

Question 16

What does the ‘R’ in APGAR stand for?

Answer 16

Respiration

Refers to the rate and effort of breathing.

Question 17

What is the score for normal appearance in APGAR?

Answer 17

2

Normal color all over (hands and feet are pink).

Question 18

What is the score for a pulse below 100 beats per minute in APGAR?

Answer 18

1

Indicates a lower heart rate, which is not normal.

Question 19

What score indicates absent pulse in APGAR?

Answer 19

0

Indicates no pulse is present.

Question 20

What is the score for normal grimace response in APGAR?

Answer 20

2

Pulls away, sneezes, or coughs with stimulation.

Question 21

What score indicates no response to stimulation in APGAR?

Answer 21

0

No grimace or response to stimulation.

Question 22

What is the score for active, spontaneous movement in APGAR?

Answer 22

2

Indicates normal activity level.

Question 23

What score indicates arms and legs flexed with little movement?

Answer 23

1

Suggests decreased muscle tone.

Question 24

What score indicates absent breathing in APGAR?

Answer 24

0

No breathing is present.

Question 25

Fill in the blank: A normal heart rate in APGAR is above _______ beats per minute.

Answer 25

100 ## Footnote This indicates a healthy heart rate.

Question 26

True or False: A normal respiration rate in APGAR is characterized by slow or irregular breathing.

Answer 26

False ## Footnote Normal respiration should be regular and effective.

Question 27

What is the score for a newborn with bluish-gray or pale skin all over?

Answer 27

0 ## Footnote Indicates poor appearance and potential distress.

Question 28

What is the score for a newborn with normal respiration rate and effort?

Answer 28

2 ## Footnote Indicates healthy respiratory function.

Question 29

What is the score for a newborn with floppy tone and no movement?

Answer 29

0 ## Footnote Suggests severe muscle tone issues.