The Apgar score, the very first test given to a newborn, occurs in the delivery or birthing room right
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Although the Apgar score was developed in 1952 by an anesthesiologist named Virginia Apgar, you also might hear it referred to as an acronym for: Appearance, Pulse, Grimace, Activity, and Respiration.
The Apgar test is usually given to a baby twice: once at 1 minute after birth, and again at 5 minutes after birth. Sometimes, if there are concerns about the baby's condition or the score at 5 minutes is low, the test may be scored for a third time at 10 minutes after birth.
Five factors are used to evaluate the baby's condition and each factor is scored on a scale of 0 to 2, with 2 being the best score:
- Appearance (skin color)
- Pulse (heart rate)
- Grimace response (reflexes)
- Activity (muscle tone)
- Respiration (breathing rate and effort)
|Normal color all over (hands and feet are pink)||Normal color (but hands and feet are bluish)||Bluish-gray or pale all over|
|Normal (above 100 beats per minute)||Below 100 beats per minute||Absent |
|Pulls away, sneezes, coughs, or cries with stimulation||Facial movement only (grimace) with stimulation||Absent (no response to stimulation)|
|Active, spontaneous movement||Arms and legs flexed with little movement||No movement, "floppy" tone|
(breathing rate and effort)
|Normal rate and effort, good cry||Slow or irregular breathing, weak cry||Absent (no breathing)|