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Flashcards in APGAR score Deck (12):
1

Apgar score for activity

  • 0 – None
  • 1 – Weak, passive (arms and legs flexed)
  • 2 – Active

2

Apgar score for pulse

  • 0 – 0
  • 1 – <100/min
  • 2 – >100/min

3

Apgar score for grimace (reflex irritability)

  • 0 – None
  • 1 – Facial grimace
  • 2 – Active withdrawal

4

Apgar score for appearance (color)

  • 0 – Blue
  • 1 – Pale, blue extremities
  • 2 – Pink

5

Apgar score for respiration

  • 0 – None
  • 1 – Irregular, shallow, gasps
  • 2 – Crying

6

Most important component of Apgar

Respiration

7

The best description of Apgar score is that it assesses ____

Neonates in need of resuscitation

8

T/F. Apgar accurately predicts who will develop cerebral palsy

False; it has a poor positive predictive value

 

Note: Most children with cerebral palsy have had normal Apgar scores and neonates with low Apgar scores do not universally get cerebral palsy

9

When is Apgar score obtained?

Apgar scores are routinely assessed at 1 and 5 minutes, and every 5 minutes thereafter as long as resuscitation is continuing

10

Interpretation

  • 7 – 10
    • good cardiopulmonary evaluation
  • 4 – 6
    • need for resuscitation, especially ventilatory support
  • 0 – 3
    • need for immediate resuscitation

11

What is the order of disappearance in a sick baby?

A → R → A → G → P

12

What is the order of appearance in a resuscitated baby?

P → A → R → G → A