apgar

• Determines how well the baby tolerated the birthing process.

  1 minute score
• Tells the health care provider how well the baby is doing outside the mother's womb.

  5 minute score
• Apgar is a quick test performed on a baby at 1 and 5 minutes after birth.
• The Apgar test is done by a doctor, midwife, or nurse. The health care provider examines the baby's APGAR. doctor, midwife, or nurse
• Appearance


  skin color
• Pules 


  heart rate
• Grimace


  reflex irritability
• Activity


  muscle tone
• respiration


  respiratory/breathing effort
• Appearance: If the skin color is pale blue, the infant scores _ for color.

  0
• Appearance: If the body is pink and the extremities are blue, the infant scores _ for color.

  1
• Appearance: If the entire body is pink, the infant scores _ for color.

  2
• Heart rate is evaluated by _____. This is the most important assessment:

  stethoscope
• The most important assessment. 


  heart rate
• Pulse: If there is no heartbeat, the infant scores _ for heart rate.


  0
• Pulse: If heart rate is less than 100 beats per minute, the infant scores _ for heart rate.


  1
• Pulse: If heart rate is greater than 100 beats per minute, the infant scores _ for heart rate.


  2
• A term describing response to stimulation, such as a mild pinch.

  response/reflex irritability
• Grimace: If there is no reaction, the infant scores _ for reflex irritability.


  0
• Grimace: If there is grimacing, the infant scores _ for reflex irritability.


  1
• Grimace: If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores _for reflex irritability


  2
• Activity: If muscles are loose and floppy, the infant scores _ for muscle tone.


  0
• Activity: If there is some muscle tone, the infant scores _.

  1
• Activity: If there is active motion, the infant scores _ for muscle tone.


  2
• Respiration: If the infant is not breathing, the respiratory score is _.


  0
• Respiration: If the respirations are slow or irregular, the infant scores _ for respiratory effort.


  1
• Respiration: If the infant cries well, the respiratory score is _.


  2
• Score of _ is normal and is a sign that the newborn is in good health.


  7, 8, 9
• A score of __ is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.


  10
• Any score lower than _ is a sign that the baby needs medical attention. The lower the score, the more help the baby needs to adjust outside the mother's womb.

  7
• If the Apgar score is below 7 at the five-minute mark, some providers will check it a few minutes later to assess the effect of any action taken to correct any _____ or _____ concerns. If it is rechecked, that typically stops once the Apgar score has reached 7.


  respiratory or cardiac
• A baby with a low apgar score may need:

  • _____ and _____ to help with breathing.

  oxygen and clearing out of airway
• A baby with a low apgar score may need:

  • ______ to get the heart beating at a healthy rate.

  physical stimulation
• Most of the time a low apgar score is caused by 3?


  difficult birth, c-section, fluid in baby's airway