Study guide for nursing competitive exams
Gomez classification one of the earliest systems for classifying protein‐energy malnutrition in children, based on percentage of expected weight for age.
Formula for weight for age (%):
Weight of the child
Weight for age (%) = ________________________________
Weight of the normal child of same age
Sr.No. |
Weight of age (%) |
Malnutrition |
1. |
90-100% |
Normal Nutritional status |
2. |
75-89% |
Mild malnutrition (1st degree) |
3. |
60-74% |
Moderate malnutrition (2nd degree) |
4. |
<60% |
Severe malnutrition (3rd degree) |
A measure of the physical condition of a newborn infant.
It is obtained by adding points (2, 1, or 0) for heart rate, respiratory
effort, muscle tone, response to stimulation, and skin coloration; a score of
ten represents the best possible condition.
Origin
1960s: named after Virginia Apgar (1909–74), the American
anesthesiologist who devised this method of assessment in 1953.
Sr. No. |
Acronym |
Score of 0 |
Score of 1 |
Score of 2 |
1. |
Respiration |
Absent |
Swallow, irregular |
Good, crying |
2. |
Muscle tone |
Flaccid |
Some flexion of extremities |
Active body movements |
3. |
Reflex response |
No response |
Grimace |
Cry |
4. |
Heart rate |
Absent |
Below 100 |
More than 100 |
5. |
Skin color |
Blue, Pale |
Body pink extremities blue |
Completely pink |
Total score – 10
1. Apgar score between 8-10 indicates no depression.
2. Apgar score between 4-7 indicates mild depression.
3. Apgar score between 0-3 indicates severe depression.