• • • • • 1 Appearance: Skin color/complexion 2 Pulse rate 3 Reflex irritability 4 Muscle tone 5 Breathing
How to evaluate
• The Apgar score is determined by evaluating the newborn baby on five simple criteria on a scale from zero to two, then summing up the five values thus obtained. The resulting Apgar score ranges from zero to 10.The tests consist of one-minute test, five-minute test and tenminute test , if it’s necessary the assessor can proceed the 15-minute and 30-minute tests.
Pulse rate
• Score of 0 : Absent • Score of 1 : <100 • Score of 2 : ≥100
Reflex irritability
• Score of 0 : no response to stimulation • Score of 1 : grimace/feeble cry when stimulated • Score of 2 : cry or pull away when stimulated
Apgar Scoring For Newborn
Learning Objective
• 1 Know about Definition and significance of Apgar Scoring. • 2 Be familiar with criteria of Apgar Scoring. • 3 Master the usage of Apgar Scoring.
Appearance
• Score of 0 : blue or pale all over • Score of 1 : blue at extremities body pink (acrocyanosis) • Score of 2 : no cyanosis body and extremities pink
0~3
The definition of Apgar o quickly and summarily assess the health of newborn children immediately after birth
Five criteria of Apgar Scoring
Muscle tone
• Score of 0 : none • Score of 1 : some flexion • Score of 2 : flexed arms and legs that resist extesion
Breathing
• Score of 0 : absent • Score of 1 : weak, irregular, gasping • Score of 2 : strong, lusty cry
Summing Score
Estimate of danger
generally normal
measure
7~10
General nursing care
4~6
Fairly dangerous symptomatic treatment generally regarded Emergency rescue as critically dangerous