APGAR

APGAR is used to assess newborns.

A	Appearance Extremities and core are pink: 2 points Blue hands and feet with a pink core (acrocyanosis): 1 point Entire body is cyanotic or pale: 0 points
P	Pulse Heart rate is greater than 100: 2 points Heart rate is less than 100: 1 points Pulseless: 0 points
G	Grimace Tactile stimulation causes the baby to cough, sneeze or cry: 2 points Tactile stimulation produces only a facial grimace: 1 point Tactile stimulation results in no activity: 0 points
A	Activity Actively moving around: 2 points Some flexion without active movement: 1 point Limp without any movement: 0 points
R	Respirations Full and effective respirations with a strong cry: 2 points Slow or irregular respirations with a weak cry: 1 point Apneic: 0 points

Total Score

7-10 Points: The newborn is active and requires only routine care.

4-6 Points: The newborn will require additional stimulation and oxygen therapy.

0-3 Points: The newborn is not perfusing adequately and assisted ventilations with a bag-valve-mask (BVM) and CPR may be required.

APGAR scores should be completed at 1 minute and 5 minutes after delivery.