APGAR assessment

Used for assessing the general conditions of the neonate.

1. Appearance (skin colour/complexion)
   1. Blue/pale all over – 0
   2. Blue/pale extremities – 1
   3. Pink all over (no cyanosis) – 2
2. Pulse
   1. Absent – 0
   2. <100bpm – 1
   3. >100bpm – 2
3. Grimace / Reflexes
   1. None – 0
   2. grimace/ feeble cry – 1
   3. Cry / pull away – 2
4. Activity / Muscle tone
   1. None – 0
   2. some flexion – 1
   3. Flexion resisting extension – 2
5. Respiratory effort
   1. None – 0
   2. Weak / irregular / gasping – 1
   3. Strong cry – 2

Max 10; 7-10 normal; 4-6 bad; <4 very bad

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