Newborn: Apgar Score and Low-Birth Weight

by Thad Wilson, PhD

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    The Apgar Score. For the newborn, this is one of the more important scales that will be developed. It will be tested on every newborn. It's done a minute after birth and then 5 minutes thereafter. We are looking for 5 primary things: the appearance, pulse, grimace, activity and finally respiration. I'll give you 1 caveat though here about the Apgar score. If an infant needs to be ventilated or they may be put on a positive pressure ventilator, they may not wait for this 1 minute to occur if that breath first breath hasn't been taken but this is a nice way to monitor the various progressions that will occur. So let's take a look at what each of these particular scores mean and how you evaluate them. The scoring system is really quite simple. You're going to take a parameter like activity, you're going to then give it an indicator is the type, you're going to give it either a 0, a 1 or 2 points. So let's go through activity to get a good look at this. Activity, a 0 points would be a limp response, 1 point is flexed arms and legs and then 2 points is active. For the pulse: 0 points is an absence of a pulse, 1 point is below 100 and 2 points is above 100. This grimace or sometimes referred to as reflex irritability either is absent if for 0 points, you have a minimal response or you have a large loud response. Appearance; 0 points is blue or pallor which is pale, 1 point is pink or sometimes a little bit of a blue extremity and then for 2 points completely pink. Finally for respirations: a 0 is absent meaning there are no respirations, 1 point is slow and irregular...

    About the Lecture

    The lecture Newborn: Apgar Score and Low-Birth Weight by Thad Wilson, PhD is from the course Human Development.

    Included Quiz Questions

    1. 8
    2. 6
    3. 4
    4. 2
    1. Ketone bodies
    2. Glucose
    3. Oxygen
    4. Insulin

    Author of lecture Newborn: Apgar Score and Low-Birth Weight

     Thad Wilson, PhD

    Thad Wilson, PhD

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