APGAR

Question 1

What is APGAR a mnemonic for?

Answer 1

A ppearance

P ulse

G rimace

A ctivity

R respiration

Question 2

What is APGAR used for?

Answer 2

To assess the status of a newborn baby after birth

Question 3

When is APGAR performed

Answer 3

1 and 5 minutes after birth, again at 10 minutes if score is ≤6

Question 4

Each aspect of APGAR is worth how many points?

Answer 4

2

Question 5

Appearance score of 0 means

Answer 5

pale/blue all over

Question 6

Appearance score of 1 means

Answer 6

acronocyanosis

Question 7

Appearance score of 2 means

Answer 7

pink all over

Question 8

Pulse score of 0 means

Answer 8

absent

Question 9

Pulse score of 1 means

Answer 9

<100

Question 10

Pulse score of 2 means

Answer 10

>100

Question 11

Grimace score of 0 means

Answer 11

No response/stimulation

Question 12

Grimace score of 1 means

Answer 12

Grimace (no cry) to stimulation

Question 13

Grimace score of 2 means

Answer 13

Cry and active movement to stimulation

Question 14

Activity score of 0 means

Answer 14

none, flaccid

Question 15

Activity score of 1 means

Answer 15

some flexion of arms/legs

Question 16

Activity score of 2 means

Answer 16

arms and legs flexed

Question 17

Respiratory score of 0 means

Answer 17

absent

Question 18

Respiratory score of 1 means

Answer 18

weak, irregular cry

Question 19

Respiratory score of 2 means

Answer 19

strong vigorous cry

Question 20

What is acrocyanosis?

Answer 20

blueness of the extremities (the hands and feet)

Question 21

APGAR score is:

4¹6⁵

What does this indicate and what should we do next?

Answer 21

That the baby is doing poorly and we will need to do another assessment at the 10 minute mark.

Question 22

What is the score?

A = Acrocyanosis

P = 105

G = no cyring to stimulation

A = arms and legs flexed

R = strong cry

Answer 22

A = 1

P = 2

G = 1

A = 2

R = 2

SCORE: 8

Question 23

What is the score?

A = pale/blue all over

P = 98

G = stong cry

A = flaccid

R = absent

Answer 23

A = 0

P = 1

G = 2

A = 0

R = 0

SCORE: 3

Question 24

What is the score?

A = pink all over

P = 125

G = no response

A = some flexion

R = weak cry

Answer 24

A = 2

P = 2

G = 0

A = 1

R = 1

SCORE: 6

Question 25

What are the interventions for a score of 0-3?

Answer 25

Need full resuscitation

Question 26

What are the interventions for a score of 4-6?

Answer 26

• Some resuscitation assistance required
• Oxygen, suction… stimulate the baby, rub back

Question 27

What are the interventions for a score of 7-10?

Answer 27

• No interventions
• Baby is doing well
• Just needs routine post-delivery care