Pediatric and Neonatal - APGAR Score

Apgar Score

Select Criteria:
Strength and regularity of heart rate
100 beats/minute or more (2 points)
Less than 100 (1 point)
None (0 points)
Lung maturity
Regular breathing (2 points)
Irregular (1 point)
None (0 points)
Muscle tone and movement
Active (2 points)
Moderate (1 point)
Limp (0 points)
Skin color / oxygenation
Pink (2 points)
Bluish extremeties (1 point)
Totally blue (0 points)
Reflex response to irritable stimuli
Crying (2 points)
Whimpering (1 point)
Silence (0 points)
Results: Total Criteria Point Count:
Apgar Score
7-10 Points:Normal
0-6 Points:Distress
  1. Apgar V. A proposal of a New Method of Evaluation of the Newborn Infant. Current Researches in Anesthesia and Analgesia. 1953, 32: 261-267.
  2. Apgar V, Holaday DA, James LS, et. al. Evaluation of the newborn infant. JAMA. 1958, 168: 1985-1988.
  3. Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001 Feb 15;344(7):467-71.
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