APGAR SCALE


This scale is for newborns and is scored at 1 min & 5 min.
Infants with scores of 7-10 usually require supportive care only.
A score of 4-6 indicates moderate depression.
Infants with scores of 3 or less require aggressive resuscitation.


APPEARANCE (Color)
Blue, pale - 0 point
Body: pink, Extremities: blue - 1 point (acrocyanosis)
Fully pink - 2 points

PULSE (Heart Rate)
Absent - 0 point
Less than 100 - 1 point
Greater than 100 - 2 points


GRIMACE (Irritability)
No response - 0 point
Limited Cry - 1 point
Vigorous Cry- 2 points


ACTIVITY (Muscle Tone)
Flaccid- 0 point
Some flexion- 1 point
Active motion- 2 points


RESPIRATION (Respiratory Effort)
Absent - 0 points
Slow, irregular - 1 point
Strong cry- 2 points

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