NOTRE DAME OF DADIANGAS UNIVERSITY

NCM 107 CARE OF MOTHER, CHILD & ADOLESCENT

2nd Term, SY 2021-2022

Name: Aira Shane C. Marges Course/Year: BSN 2D

Instructor: Judith Barcelona Date: 10/29/2021 0

Assignment

APGAR SCORE
An APGAR score is taken on every newborn at 1minute and 5 minutes after birth.
It permits a rapid assessment of the need for resuscitation and is based on five signs:
The heart rate, respiratory effort, muscle tone, reflex irritability and color. Scores of 0-3
indicate severe distress, scores of 4-6 indicate moderate difficulty, and a score of 7-10
indicates that the infant will not have difficulty adjusting to extrauterine life. The APGAR
scores do not predict future neurologic outcome, but the 5 minutes score does correlate
with the degree of risk for neonatal morbidity and mortality. When the infant is 1st born,
make sure they are breathing adequately. Have a bulb syringe, suction and oxygen
available to help clear the airway if needed.

A: Activity/muscle tone

• 0 points: limp or floppy

• 1 point: limbs flexed
• 2 points: active movement

P: Pulse/heart rate

• 0 points: absent
• 1 point: less than 100 beats per minute
• 2 points: greater than 100 beats per minute

G: Grimace (response to stimulation, such as suctioning the baby’s nose)

• 0 points: absent
• 1 point: facial movement/grimace with stimulation
• 2 points: cough or sneeze, cry and withdrawal of foot with stimulation

A: Appearance (color)

• 0 points: blue, bluish-gray, or pale all over

• 1 point: body pink but extremities blue
• 2 points: pink all over

R: Respiration/breathing

• 0 points: absent
• 1 point: irregular, weak crying
• 2 points: good, strong cry