Student Nurse Laura

Orem – "creative effort of one human being to help another human being."


Posted by Laura on January 19, 2010


Score Card by me. Definition by Tabers @

Apgar score  (ăp′găr)

Virginia Apgar, U.S. anesthesiologist, 1909–1974]
A system for evaluating an infant’s physical condition at birth.
The infant’s heart rate, respiration, muscle tone, response to stimuli, and color are rated at 1 min, and again at 5 min after birth. Each factor is scored 0, 1, or 2; the maximum total score is 10.

Interpretation of scores: 

  • 7 to 10 – good to excellent
  • 4 to 6 – fair
  • less than 4 – poor condition.

A low score at 1 min is a sign of perinatal asphyxia and the need for immediate assisted ventilation. Infants with scores below 7 at 5 min should be assessed again in 5 more min; scores less than 6 at any time may indicate need for resuscitation. In depressed infants, a more accurate determination of the degree of fetal hypoxia may be obtained by direct measures of umbilical cord blood oxygen, carbon dioxide partial pressure, and pH.

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