Study guide for nursing competitive exams

Apgar scoring


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.