Apgar Scoring- ECU CON Spring 2011

The APGAR Score :

The APGAR Score Maria Chavez Angela Davis Kayla Eason Blair Quakenbush Lauren Small

History of the APGAR Score:

History of the APGAR Score Created by Dr. Virginia Apgar to provide an organized method of quickly assessing the status of newborn infants at one minute and again at 5 minutes of age Prompts staff to further short-term interventions if needed (does not determine long-term well being) Scoring consists of five components: A ctivity and Muscle Tone P ulse (heart rate) G rimace (reflex irritability) A ppearance (color) R espiration (rate and effort)

APGAR Scoring:

APGAR Scoring There is a possibility of scoring 2 points for each of the 5 components Resulting in a final score of 0-10 points Improvement in score should be seen between the 1 minute and 5 minute assessments Low APGAR scores are generally seen in infants of premature births and those from high risk pregnancies

APGAR: Activity & Muscle Tone:

APGAR: Activity & Muscle Tone Limp and flaccid, no movement = 0 Some flexing or bending = 1 Active spontaneous movement = 2

APGAR: Pulse:

APGAR: Pulse Absent heart beat = 0 Slow heart beat (< 100 bpm) = 1 Adequate heart beat (>100 bpm) = 2

APGAR: Grimace (Reflex Irritability):

APGAR: Grimace (Reflex Irritability) No response to stimulation = 0 Grimace, facial movement only with stimulation = 1 Vigorous cry or pulls away with stimulation = 2

APGAR: Appearance:

APGAR: Appearance Pale or blue = 0 Normal body color but blue extremities (acrocyanosis) = 1 Normal color, completely pink = 2

APGAR: Respirations:

APGAR: Respirations Not breathing = 0 Weak cry, irregular breathing = 1 Strong cry, regular breathing with normal effort = 2

APGAR: Results:

APGAR: Results Score 0-3 infant needs immediate resuscitation: CPR Score 4-6 requires intermediate interventions: oxygen and respiratory assistance Score of 7-10 considered good health Persistently low score predictive of high rates of morbidity and mortality

APGAR Assessment 1 Minute:

APGAR Assessment 1 Minute High APGAR Score

APGAR Assessment 1 Minute:

APGAR Assessment 1 Minute Low APGAR Score

APGAR Re-assessment 5 Minutes:

APGAR Re-assessment 5 Minutes High APGAR Score

APGAR Re-assessment 5 Minutes:

APGAR Re-assessment 5 Minutes Low APGAR Score

References:

References American Academy of Pediatrics. (2006). The apgar score. PEDIATRICS , 117 (4), 1444-1447. Davidson, M. R., London, M. L., & LAdewig, P. A. (2008). Old's maternal-newborn nursing & women's health across the lifespan. Upper Saddle River, NJ: Pearson-Prentice Hall. The Nemours Foundation, Initials. (2011). What is the apgar score? . Retrieved from http://kidshealth.org/parent/pregn ancy_center/q_a/apgar.html