Which apgar score should the nurse assign?

Last Update: April 20, 2022

This is a question our experts keep getting from time to time. Now, we have got the complete detailed explanation and answer for everyone, who is interested!

Asked by: Eryn Dare
Score: 4.7/5 (29 votes)

Which of the following Apgar scores should the nurse assign the newborn? Rationale: The nurse should score the newborn 2 for heart rate of 120/min, 1 for rest effort (slow/weak cry), 0 for muscle tone (flaccid), 1 for reflex irritability (grimace), & 0 for color.

Which Apgar score should you assign to this newborn?

The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health.

What is a normal Apgar score at 1 minute?

A score of 7 to 10 is considered normal for both the one-minute and five-minute Apgar tests. A score in this range usually means that your baby's in good shape and doesn't need more than routine post-delivery care.

How do you assign an Apgar score?

Apgar testing is typically done at one and five minutes after a baby is born, and it may be repeated at 10, 15, and 20 minutes if the score is low. The five criteria are each scored as 0, 1, or 2 (two being the best), and the total score is calculated by then adding the five values obtained (1).

What does an Apgar score of 4 mean?

What's considered a normal Apgar score? A score of 7 to 10 after five minutes is “reassuring.” A score of 4 to 6 is “moderately abnormal.” A score of 0 to 3 is concerning. It indicates a need for increased intervention, usually in assistance for breathing.

Newborn Assessment: APGAR scoring. Part 4

15 related questions found

What does an Apgar score of 5 indicate?

If your baby's Apgar scores are between 5 and 7 at one minute, she may have experienced some problems during birth that lowered the oxygen in her blood. In this case, the hospital nursing staff probably will dry her vigorously with a towel while oxygen is held under her nose.

What are the 5 parts of Apgar scoring?

The Apgar score comprises five components: 1) color, 2) heart rate, 3) reflexes, 4) muscle tone, and 5) respiration, each of which is given a score of 0, 1, or 2.

What is the full form of Apgar score?

Acronym. Some ten years after initial publication, a backronym for APGAR was coined in the United States as a mnemonic learning aid: Appearance (skin color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration.

How common is an Apgar score of 10?

Very few babies get a perfect Apgar score – in fact at our hospital, fewer than 1 in 100 get that perfect 10.

What is the full meaning of Apgar score?

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.

What does an Apgar of 1 mean?

1 – Fewer than 100 beats per minute indicates that the baby is not very responsive. 2 – More than 100 beats per minute indicates that the baby is vigorous.

Is the Apgar test mandatory?

The Apgar test is not mandatory, yet it is now performed on nearly all the four million babies born in hospitals in the United States each year and millions more times elsewhere in the world.

What is the highest Apgar score?

The Apgar score is used as a part of early assessment of a newborn. A score of 0, 1, or 2 is assigned to each of the 5 physical signs at 1 and 5 minutes after birth. The maximum score that can be assigned is 10. Scores ranging from 7-10 are considered normal.

Which newborn has the highest Apgar score?

Scores are between 10 and 0. Ten is the highest score possible, but few babies get it. That's because most babies' hands and feet remain blue until they have warmed up.

Does Apgar determine intelligence?

The Apgar is a test which rates the newborn's health on a scale of one to ten and how much medical attention the child needs. Researchers found a link between an Apgar score of below seven and lower intelligence in later life.

How do you assess a newborn baby?

One of the first assessments is a baby's Apgar score. At one minute and five minutes after birth, infants are checked for heart and respiratory rates, muscle tone, reflexes, and color. This helps identify babies that have difficulty breathing or have other problems that need further care.

What does a score of less than 5 in five minutes on the Apgar test indicate?

Most low scores at 1 minute are normal 5 minutes later. Once in a while, a baby with a low score at 5 minutes may get tested again at the 10-minute mark. If your baby gets a low Apgar score, she may need oxygen or to have her airway cleared out, or she may need some physical stimulation to get her heart rate up.

What is family Apgar?

The Family APGAR was introduced by Gabriel Smilkstein in 1978 to assess adult satisfaction with social support from the family. 15. It draws its name from a 5-item measure of perceived family support in the domains of adaptation, partnership, growth, affection, and resolve.

What is new Ballard score?

The Ballard score is commonly used to determine gestational age. Here's how it works: Scores are given for 6 physical and 6 nerve and muscle development (neuromuscular) signs of maturity. The scores for each may range from -1 to 5.

What is a normal weight of a newborn baby?

The average birth weight for babies is around 7.5 lb (3.5 kg), although between 5.5 lb (2.5 kg) and 10 lb (4.5 kg) is considered normal. In general: Boys are usually a little heavier than girls.

How accurate is the Apgar score?

Pediatricians and pediatric housestaff, the most accurate scorers, assigned the correct score only 68% of the time. Nurses from community hospitals were only 24% accurate. Improper scoring limits the usefulness of the Apgar score in comparing neonates within and between hospitals.

Is Apgar score nominal?

Apgar score values are not numbers. Generally, things that are measured, are numbers. Things that are assessed subjectively, like newborn skin color, are ordinal and do not have values.

What is the average weight and height of a new born?

While newborns vary in size and shape as much as adults do, full-term babies tend, on average, to weigh between 5 pounds, 11 ounces and 8 pounds, 6 ounces. They're usually between 19 and 21 inches long, with a head circumference of about 13 1/2 inches.

Why is RDS a factor in premature babies?

RDS is more common in premature newborns because their lungs are not able to make enough surfactant. Surfactant is a foamy substance that keeps the lungs fully expanded so that newborns can breathe in air once they are born.

What is measured in the Apgar scale?

The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth.