APGAR Flashcards
What does APGAR stand for?
Appearance (color)
Pulse (HR)
Grimace (reflex ability)
Activity (tone)
Respiratory effort
what is rare to see right after birth regarding APGAR?
rare to see baby pink all over → most babies are not
if a baby was pink all over, what apgar score would this get?
2
if a baby is pink except for extremities, what is this known as and what apgar score would this get? is this a normal finding?
acrocyanosis
score 1
very common & is a normal finding
what causes acrocyanosis?
Bc baby shunts the blood flow to where it is needed most at first
if a baby is blue or pale at birth, what apgar score is this?
0
if a baby’s HR at birth is greater than 100 bpm, what apgar score would this be?
2
where can you assess baby’s HR at 1 minute after birth?
umbilicus → it will still be pulsating
if a baby’s HR at birth is less than 100 bpm, what apgar score would this be?
1
if a baby has a vigorous cry and pulls away, what apgar score is this? what apgar category does this fall under?
score → 2
grimace category
at birth, when might a baby have a vigorous cry and pull away?
when drying the baby bc it is irritating them
if a baby has a grimace or facial movement at birth, what apgar score is this?
1
if the baby does not respond to stimulation, what apgar score would this be? what apgar category does this fall under?
score → 0
grimace category
how should the nurse elicit stimulation when assessing the baby’s grimace at birth?
start tapping/flicking the feet before 1 minute mark
if a baby has active movement, what apgar score would this be?
2
if the baby has some flexion of the extremities, what apgar score would this be?
1
when assessing a baby’s activity at birth, when would they lose one point?
if they have some tone but no movement
if a baby is flaccid at birth, how does this present? what apgar score would this be?
the baby would be limp
score → 0
if a baby has good breathing with crying at birth, what apgar score is this?
2
when assessing a baby’s respiratory effort at birth, what is good to see?
a baby who cries and looks very upset with you
when assessing a baby’s respiratory effort, what would get a score of 1?
weak cry, slow breathing, or a grunting cry
what does a grunting cry indicate?
they are having trouble getting started
when is apgar assessed?
at 1 minute and 5 minutes → then you compare
what should be done if the baby’s apgar score is ≤ 7?
repeat the assessment every 5 minutes until stable
what is considered a good apgar score?
8 or above
what apgar score is when we are starting to get concerned and will start to intervene?
7
most babies have which apgar score around 5 mins?
9
