A
Activity (muscle tone)
- Absent 0 points
- Flexed arms and legs 1 point
- active 2 points
P
Pulse
- 110-160
- absent 0 points
- below 100 bpm 1 point
- over 100 bpm 2 points
G
grimace (reflex irritability)
- floppy 0 points
- minimal response to stimulation 1 point
- prompt response to stimulation 2 points
AA
appearance (skin color)
- blue, pale 0 points
- pink body, blue extremities 1 point
- pink 2 points
R
, respiration
- 40-60
- absent 0 points
- slow and irregular 1 point
- vigorous cry 2 points
A nurse is discussing Apgar scoring with a newly licensed
nurse. The nurse should identify that which of the following
factors can affect the Apgar score?
Maternal medications
A nurse is collecting data from a newborn who is 5 minutes old.
The newborn has a slow and weak cry, flaccid tone, pale color,
grimace, and a heart rate of 120/min. Which of the following
Apgar shores should the nurse assign the newborn?
4
A nurse is assisting with the collection of data for an Apgar
score on a newborn. Which of the following findings should the
nurse assess?
Respiratory effort
A nurse is assisting with discussing Apgar scoring with a newly
licensed nurse. Which of the following information should the
nurse include in the teaching?