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9 Cards in this Set
- Front
- Back
What does APGAR Stand for?
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Appearance, Pulse, Grimace, Activity, Respiratory effort
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What is protocol if the APGAR score is less than 7 at 5 minutes
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Scoring would then continue every five minutes until the newborn stabilizes or until 20 minutes have passed since birth.
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What is the order in which the APGAR is assessed?
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Pulse, Respiratory, Activity, Grimace, Appearance
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What are the scores for pulse rate?
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absent= 0
less than 100= 1 over 100 = 2 |
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What are the scores for respiratory effort?
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absent= 0
Slow, irregular, gasping, weak cry = 1 good; strong cry = 2 |
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What are the scores for Activity?
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(MUSCLE TONE)
flaccid = 0 Some flexion of the extremities = 1 Active motion; flexed arms and legs which resist tension = 2 |
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What are the scores for Grimace?
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(Reflex irritability)
no response to stimulation = 0 feeble cry when stimulated = 1 strong cry; pulls away or sneezes when stimulated with catheter in nare = 2 |
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What are the scores for Appearance?
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(SKIN COLOR)
pallor/cyanosis = 0 Pink body, blue extremities = 1 completely pink = 2 |
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What do the three tiers of scores indicate?
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Tier 1: 0-3 indicates poor clinical status/ severe distress
Tier 2: 4-6 indicates fair status, moderate difficulty adjusting to extrauterine life Tier 3: 7-10 indicates minimal or no difficulty adjusting to extrauterine life |