Apgar Scale

A simple, easy-to-perform, standardized scale that is used to determine the physical status of an infant at birth. The Apgar scale is administered to a newborn at one minute after birth and five minutes after birth.

It scores the baby's heart rate, respiration, muscle tone, reflex response, and color. This test quickly alerts medical personnel that the newborn needs assistance.

 Sign0 points1 point2 points
AActivity (Muscle tone)limplimbs flexedactive movement
PPulse (heart rate)absent< 100 /min> 100 /min
GGrimace (response to smell or foot slap)absentgrimacecough or sneeze (nose), cry and withdrawal of foot (foot slap)
AAppearance (color)bluebody pink, extremities bluepink all over
RRespiration (breathing)absentirregular weak cryinggood strong cry
The total Apgar score is the sum of the scores for the five signs.

See also: Apgar, Virginia.

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Subjects: Medical