APGAR and Counting

0

The number of functions/components assessed/measured in the APGAR score for newborns

Appearance – color/pallor is considered normal if it is close to skin tone or pink.

Pulseheart rate which is measured in beats per minute. Greater than 100 beats per minute is considered normal for a newborn.

Grimace – reflex irritability to stimulation like a pinch. In response to this irritation the newborn will respond by grimacing, pulling away or crying. All of these reflexes are good signs.

Activity –squirming, kicking and wiggling are signs of muscle tone.

Respiration – crying is a sign of respiration. Normal respiration rate for a newborn is 30 to 60 breaths per minute. 

  • 1

    Appearance

    color/pallor is skin tone

  • 2

    Pulse

    heart rate is 100 beats per minute

  • 3

    Grimace

    response to stimulation – grimacing, pulling away and/or crying

  • 4

    Activity

    squirming, kicking and/or wiggling

  • 5

    Respiration

    best sign of respiration is a cry

0

Highest APGAR score possible is very rare. This uncommon score is unusual because in most cases appearance of the newborn is affected during birth.

 

 

2

no care

1

care

0

immediate care

Appearance

Body is flesh toned /pink

Pale extremities only

Body blue or pale 

Pulse

Greater than 100 beats per minute

Less than 100 beats per minute

Absent

Grimace

 Cry or withdrawal from stimulus

Grimace response to stimulus

No response

Activity

Active kicking

Some movement

Limp

Respiration

Good cry

Weak cry

Absent

0

The number of times the APGAR score is calculated on average after birth.

The APGAR score is calculated at one-minute and five-minutes after birth.  Newborns will generally have only two APGAR scores unless the five-minute score is less than 7. In that case the Neonatal Resuscitation Program Guidelines call for repeat assessment every five minutes for 20 minutes. A newborn being resuscitated does not meet the accepted standard for APGAR scoring.