APGAR Flashcards
What is APGAR a mnemonic for?
A ppearance
P ulse
G rimace
A ctivity
R respiration
What is APGAR used for?
To assess the status of a newborn baby after birth
When is APGAR performed
1 and 5 minutes after birth, again at 10 minutes if score is ≤6
Each aspect of APGAR is worth how many points?
2
Appearance score of 0 means
pale/blue all over
Appearance score of 1 means
acronocyanosis
Appearance score of 2 means
pink all over
Pulse score of 0 means
absent
Pulse score of 1 means
<100
Pulse score of 2 means
>100
Grimace score of 0 means
No response/stimulation
Grimace score of 1 means
Grimace (no cry) to stimulation
Grimace score of 2 means
Cry and active movement to stimulation
Activity score of 0 means
none, flaccid
Activity score of 1 means
some flexion of arms/legs
Activity score of 2 means
arms and legs flexed
Respiratory score of 0 means
absent
Respiratory score of 1 means
weak, irregular cry
Respiratory score of 2 means
strong vigorous cry
What is acrocyanosis?
blueness of the extremities (the hands and feet)
APGAR score is:
4165
What does this indicate and what should we do next?
That the baby is doing poorly and we will need to do another assessment at the 10 minute mark.
What is the score?
A = Acrocyanosis
P = 105
G = no cyring to stimulation
A = arms and legs flexed
R = strong cry
A = 1
P = 2
G = 1
A = 2
R = 2
SCORE: 8
What is the score?
A = pale/blue all over
P = 98
G = stong cry
A = flaccid
R = absent
A = 0
P = 1
G = 2
A = 0
R = 0
SCORE: 3
What is the score?
A = pink all over
P = 125
G = no response
A = some flexion
R = weak cry
A = 2
P = 2
G = 0
A = 1
R = 1
SCORE: 6