ASSESSMENT OF A NEWBORNThe Normal NewbornThe Apgar scoreis a practical method of systematically assessingnewborn infants immediately after birth tohelp identify those requiring resuscitation to predict survival in the neonatal period.The 1-min Apgar score may signal the need forimmediate resuscitationthe 5-, 10-, 15-, and 20-min scores may indicatethe probability of successfully resuscitating aninfant.A low score may be due to a number of factors,including drugs given to the mother during laborand immaturityThe Apgar score was not designed to predictneurologic outcomeAssessments @ 1 min. and 5 min.A = appearanceP = pulseG = grimaceA = activityR = respirationsAPGAR ScoresApgar Evaluation of Newborn InfantsSIGNColor (A)01Bluepale Body pink, extremities blueHeart rate(P)Grimance (G)Muscle tone(A)LimpRespiratory effortAbsent Slow,AbsentBelow 100No responseGrimaceSome flexion of extremitiesirregular2Completely pinkOver 100Cough or sneezeActive motionGood, cryingA score of 0, 1, or 2 is givenA total score of 10 indicates an infant in the best possible condition. An infant with a score of 03 requiresimmediate resuscitation.Factors Affecting the Apgar ScoreFALSE-POSITIVE (NO FETAL ACIDOSIS OR HYPOXIA; LOWAPGAR)FALSE-NEGATIVE (ACIDOSIS;NORMAL APGAR)ImmaturityMaternal acidosisAnalgesics, narcotics, seda ...
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