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