Live Assessment
Assessment Time Point
APGAR Score
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Complete Reference & NRP Guide
The APGAR score provides a standardized assessment of neonatal wellbeing at birth.
| Sign | 0 | 1 | 2 |
|---|---|---|---|
| Appearance (Colour) | Blue/pale | Blue extremities | Completely pink |
| Pulse (Heart Rate) | Absent | <100 bpm | ≥100 bpm |
| Grimace (Reflex) | No response | Grimace/weak cry | Sneeze/cough/cry |
| Activity (Muscle Tone) | Limp/flaccid | Some flexion | Active motion |
| Respiration | Absent | Weak/gasping | Strong cry |
Score Interpretation
- 7–10: Normal. Routine post-delivery care.
- 4–6: Moderate depression. Stimulate, dry, warm, supplemental O₂. Consider PPV.
- 0–3: Severe depression. Immediate resuscitation (PPV, chest compressions).
NRP 2020 Resuscitation Highlights
All newborns: Warm, dry, stimulate, position airway. Assess: Is the baby term? Breathing/crying? Good muscle tone? If yes — routine care. If no — begin resuscitation.
Positive Pressure Ventilation (PPV): Indicated if gasping, apneic, or HR <100 bpm. Rate: 40–60 breaths/min. Start at 21% O₂ for term babies.
Chest Compressions: Indicated if HR <60 bpm despite 30 seconds of effective PPV. Ratio: 3:1 (90 compressions + 30 ventilations per minute).
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