كليـــة العلـــوم الصحيــة
College of Health Sciences
COLLEGE OF HEALTH SCIENCES
Apgar scoring system
Course Title: _____________________________ Course code: _______________________
Student Name: __________________ID number: ________ Section: ____ Date: _________
Parameter ( Assessment Technique) 0 Points 1 Points 2 Points
• Assessed for the 1st 1minute and 5 minute
Appropriate
• Appearance(color) body color;
Skin color (inspection of trunk and extremities blue Completely appropriate
with the appropriate color for ethnicity Cyanotic extremities color (pink on both trunk
appearing within minutes after birth) or pale (acrocyanosis) and extremities)
• Pulse(heart rate)
Hear rate (auscultation of apical hear rate for 1 Slow (<100
full minute) Absent bpm) >100 bpm
• Grimace (Reflex Irritability) Grimace or
Reflex imitability (ficking of the soles of the feet No frown when Sneeze, cough, or
or suctioning of the nose with a bulb syringe) response irritated vigorous cry
• Activity (Muscle Tone) Tight flexatioin, good
Muscle tone (observation of extent of flexion in Some flexion, resistance to extension
the newborn’s extremities and newborn's limited with quick return to
resistance when the extremities are pulled Limp, resistance to flexed position after
away from the body flaccid extension extension
• Respiratory effort
(observation of the volume and vigor of the Regular respirations
newborn's cry; auscultation of depth and Slow, irregular, (usually 30-60 breaths /
rate of respirations) Apneic shallow minutes), strong, good cry
Score
Interpretation of scores
The test is generally done at one and five minutes after birth Scores
3 and below- Critically low & requires resuscitation
4 to 6 - Fairly low so Gently stimulate, administer
oxygen
7 to 10 - Generally normal.
___________________________ ____________________________
Name & Signature of the Evaluator Name & Signature of the Student
References:
• Susan Scott Ricci.essentials of Maternity ,newborn & womens health nursing,wolters kluwers
;3rd edn:2013