Apgar scoring
assessment of five indications of a newborn’s physiologic state: heart rate, respiratory effort, muscle tone, reflex irritability, and color at 1 and at 5 min following birth.
Heart Rate
0 means absent
1 is slow (below 100/min)
2 means above 100/min
Resp Effort
0 means absent
1 means slow or weak
2 reflects a loud cry
Muscle Tone
0 is flaccid
1 indicates some flexion of the extremities
2 is well-flexed
Reflex Irritability
0 means no response
1 is a grimace
2 is a cry
Color
0 is pale or blue
1 reflects a pink body with blue extremities
2 means completely pink
SCORING
0-3 - severe distress, resuscitate asap
4-6 - mod difficulty
7-10 - min to no difficulty