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Apgar Score
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Slides ApgarScore Obstetrics.pdf
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Download Lecture Overview
00:00 Now let's talk about APGAR. 00:04 APGAR is a subjective scoring system designed to determine the need to resuscitation of a new born. 00:11 APGARs are usually assigned by the pediatric nurse. 00:16 So let's go through what APGAR stands for. 00:19 Appearance, Pulse, Grimace, Activity and Respirations. 00:27 With the scoring system these are given either as 0, 1 or 2 in each category. 00:35 Let's see what makes up the categories. 00:37 Appearance refers to the color of the baby. 00:40 If the baby is white that's a score of 0. 00:43 If the baby is blue, that's the score of 1. 00:46 And if the baby is pink, that's the score of 2. 00:49 Now we're looking at the overall color of the baby. 00:52 It is very common, that babies will have cyanosis or blueness of the hands and the feet. 00:58 Pulse, if the pulse is less than 60 beats per minute that's a score of 0. 01:04 60 to 100 beats per minute, that's a score of 1. 01:08 And greater than a 100 beats per minute, that's a score of 2. 01:11 The pulse is usually performed by oscillating with the stethoscope or feeling the pulsations in the umbilical cord. 01:19 Grimace, this refers to have the baby response to stimulation. 01:26 None will be a score of 0. 01:28 Poor is 1. 01:30 And good is 2. 01:32 Next is Activity. 01:36 This refers to how well the baby is moving. 01:39 None is 0. 01:41 Minimal activity would be 1. 01:43 And vigorous activity that would be 2. 01:46 Respirations refers to how well the baby is breathing. 01:52 None would be 0. 01:54 Gasping for air would be a 1. 01:56 And vigorous respirations that would be a 2.
About the Lecture
The lecture Apgar Score by Veronica Gillispie, MD, FACOG is from the course Postpartum Care.
Included Quiz Questions
What is the purpose of assigning APGAR scores?
- To evaluate the overall state of the newborn.
- To predict the risk of cerebral palsy.
- To determine the degree of anoxic brain injury of the newborn.
- To monitor for signs of neonatal sepsis.
- To indicate a marker for common childhood learning disabilities in the future.
A newborn baby has a pink face/abdomen, cyanotic hands/feet, a pulse of 140, squirms to stimulation, spontaneously moves both arms and legs, and is breathing slowly. What is the 5 minute APGAR score for this baby?
- 9
- 8
- 6
- 7
- 12
Author of lecture Apgar Score
Veronica Gillispie, MD, FACOG
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