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Normal APGAR Score at 1 Minute

The APGAR score is a quick assessment tool for evaluating a newborn's health based on five criteria: Appearance, Pulse, Grimace, Activity, and Respiration, with scores ranging from 0 to 2 for each criterion. The total score helps determine the level of distress, with scores of 0-3 indicating severe distress, 4-6 moderate distress, and 7-10 minimal to no distress. Assessment occurs at 1 and 5 minutes after birth, and interventions like gentle stimulation or oxygen therapy may be applied based on the score.

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50 views2 pages

Normal APGAR Score at 1 Minute

The APGAR score is a quick assessment tool for evaluating a newborn's health based on five criteria: Appearance, Pulse, Grimace, Activity, and Respiration, with scores ranging from 0 to 2 for each criterion. The total score helps determine the level of distress, with scores of 0-3 indicating severe distress, 4-6 moderate distress, and 7-10 minimal to no distress. Assessment occurs at 1 and 5 minutes after birth, and interventions like gentle stimulation or oxygen therapy may be applied based on the score.

Uploaded by

nhordagoda03
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APGAR Score

The APGAR score is a rapid assessment tool to evaluate the neonate's overall
health. Five criteria are examined and a score of 0, 1, or 2 is assigned. These five
values (Appearance, Pulse, Grimace, Activity and Respiration) are totaled for the
APGAR score. Scores are affected by many factors including genetic defects,
gestational age, or pregnancy related complications including hypoxia and trauma.

PLAY PICMONIC

1 and 5 Minutes
(1)-Wand to (5)-Hand Minutes-clock
The neonate is assessed using this score at intervals of 1 and 5 minutes after birth. The APGAR score may not be completed if the neonate requires
resuscitation.

Appearance
Appearance-in-mirror
Assess skin coloration.
0 = Blue or pale.
1 = Body pink, extremities blue.
2 = Completely pink

Pulse
Heart-timer
Assess heart rate.
0 = Absent
1 = Slow (<100 bpm)
2 = Normal (>100 bpm)
Remember that a neonate's normal heart rate lies between 120-160 bpm.

Grimace
Grimacing
Asses reflex irritability and crying.
0 = No response
1 = Grimace
2 = Grimace with Cough, Sneeze, or Cry

Activity and Muscle Tone


Active with Muscle Tone
Assess flexion of the extremities.
0 = Flaccid
1 = Some flexion
2 = Good flexion

Respiration
Respiration
Assess breathing rate and effort.
0 = Absent
1 = Slow or Irregular
2 = Regular respiration or Crying

Total Scores
Total Scoreboard
The total of each of the 5 areas are added together for the final APGAR Score. These scores indicate 0-3 = Severe distress, 4-6 = Moderate Distress, 7-
10 = Minimal to no distress

Gentle Stimulation
Gently Stimulating
Neonates in moderate distress at 1 minute often improve with gentle stimulation. This stimulation includes tactile methods, such as touching or
rubbing the neonates back.

Oxygen
O2-tank
A neonate who is initially cyanotic may have an indication for oxygen therapy. Oxygen therapy should be initiated using the blow by method and
should not be continued long term per the physician's orders.

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