FINALS - APGAR - 1 Flashcards
who invented APGAR Scoring
By Dr. Virginia Apgar
When is APGAR taken?
Taken at 1 min and 5 min
APGAR is used to evaluate:
Brain function at birth
Respiratory function
Circulation status
APGAR =
Appearance, Pulse, Grimace, Activity (Muscle Tone), Respiration
0 =
blue, absent pulse, no response, flaccid arms, absent resp
= blue, absent pulse, no response, flaccid arms, absent resp
0
1 =
blue extremities but pink body, >100 bpm, grimace present, some flexion, slow resp
= blue extremities but pink body, >100 bpm, grimace present, some flexion, slow resp
1
2 =
pink all over, <100, vigorous cry, active movements, good crying
= pink all over, <100, vigorous cry, active movements, good crying
2
Done by the doctors
For gestational age assessment
The prime determinant for organ maturity
Ballard’s Scoring
Who does Ballard’s Scoring?
Done by the doctors
What does BS assess?
For gestational age assessment
This is the prime determinant for organ maturity
Ballard’s Scoring
Ballard Score Categories:
Neuromuscular maturity
Physical Activity
BS Neuromuscular Criteria:
Posture
Square window
Arm recoil
Popliteal angle
Scar sign
Heel to ear
BS Physical Activity Criteria:
Skin
Lanugo
Plantar surface
Breast
eye/ear
Genitals (male)
Genitals (female)
Premature =
<34 Weeks
= <34 Weeks
Premature
Late PreTerm =
34 - 37 Weeks
= 34 - 37 Weeks
Late PreTerm
Early Term =
37 - 38 Weeks
= 37 - 38 Weeks
Early Term
Full Term =
39 - 40 Weeks
= 39 - 40 Weeks
Full Term
Late Term =
41 - 42 Weeks
= 41 - 42 Weeks
Late Term
Post Term =
<42 Weeks
= <42 Weeks
Post Term
Anthropometric Mesurements
Head
Chest
Abdomen
Midarm
Length
Weight
