APGAR SCORING Flashcards
What is the APGAR scale?
It is a quick objective method to
comparatively evaluate the VITAL
FUNCTIONS of the newborn.
When is APGAR scoring performed on
infants?
At one minute and again at 5 minutes after
birth.
Name the 5 criteria that are recorded on an
APGAR scale.
Cardiac status, respiratory effort, muscle
tone, neuromuscular irritability (reflexes),
and color.
The total APGAR score can range from
__ to __.
0 to 10
The maximum score an infant can receive
on any one criterion of the APGAR is
___.
2
The lowest score an infant can receive on
any one criterion of the APGAR is __.
0
A 10 on the APGAR means the baby is
_____
In terrific health.
A 0 on the APGAR is ____ (bad/good).
Bad, the baby is stillborn
On heart rate or cardiac status, a 2 means
that the HR is (above/below) ___ beats
per minute.
Above, 100
On the heart rate criteria an infant scores a
“1” if their HR is (greater/lesser) than 0
but less than ____.
Greater, 100
In order to score a 0 on HR the infant
must have a rate of ___
Zero
A high score of 2 is given for the
respiratory effort if the newborn _____
______.
Cries vigorously
An infant is given a score of 1 if their
respirations are _____ or _____
Slow, irregular
An infant is given a score of 0 for
respiratory effort if __________.
They do not breathe.
In order to get a score of 2 on muscle tone
the infant must ____ ______.
Move spontaneously (actively)
To get a score of 1 on the APGAR for
muscle tone the newborn must place their
extremities in _____.
Flexion
A newborn receives a score of 0 on
muscle tone when there is ________.
No movement (limp)
To score the maximum of 2 points on
neuromuscular reflex irritability the infant
must ____.
Cry
If the neonate _____, they will score a 1
on neuromuscular irritability.
Grimaces
To receive a 0 on reflex (neuromuscular
irritability) the neonate must exhibit
_____.
No response
To score a maximum score of 2 on color
the child must be _______ _______.
Totally pink
If the child’s ______ are _____ and the
trunk-face-abdomen are _______, the
child scores a 1 on color.
Extremities are blue (cyanotic), Pink
To get a 0 on color the infant is
_____/_____.
Totally blue, pale
When a healthy child receives a 9 on the
APGAR they most likely get a 1 on
_____
Color, most healthy babies have
acrocyanosis on the 1 minutes APGAR but
get a 10 on the 5 minute. (Acrocyanosis is
blue extremities, pink body)
