APGAR And Fetal Vital Signs Flashcards
APGAR
Appearance
Pulse
Grimace
Activity
Respiration
Appearance
pallid, cyanotic, or pink skin color
Scoring of Appearance
0= blue, pale
1= body pink, extremities blue
2= all pink
Pulse
auscultated or felt via umbilical cord
Scoring of Pulse
0= absent
1= slow <100
2= >/= 100
Grimace
Response to suctioning of nares or nasopharynx
Scoring of Grimace
0= no response
1= grimace
2= cry
Activity
degree of flexion and movement
Scoring of Activity
0= flaccid
1= some flexion
2= well flexed
Respiration
Observed movement of chest wall
Scoring of Respiration
0= absent
1= slow, weak cry
2= good cry
Minimal (7-10)
Dry, provide warmth, clear airway, ongoing evaluation
Moderate (4-6)
Vigorous Stimulation
Oxygen
Narcan
Severe (0-3)
CPR
Drug tx
Intubation
Heart Rate for Newborn
110-160 BPM
Respirations for Newborn
30-60 breaths
O2 Saturation RA
94-100%
Temperature for Newborn
36.5 c to 37.4 (97.7-99.3 F)
BP Newborn
60-80 systolic
40-50 diastolic
Weight
> 2500 but <4000 grams
Head Circumference
33-35 cm
Chest Circumference
2-3 cm < head
Length Newborn
50 cm (20 inches)