APGAR Score and Newborn Assessment
The APGAR score rapidly assesses a newborn's condition at 1 and 5 minutes after birth across five parameters, guiding the need for resuscitation.
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What you must know about APGAR Score
APGAR assesses: Appearance (colour), Pulse (heart rate), Grimace (reflex), Activity (muscle tone), Respiration.
Each parameter is scored 0, 1, or 2, giving a maximum total of 10.
The score is assessed at 1 minute and again at 5 minutes after birth.
A score of 7–10 is normal; 4–6 is moderately depressed; 0–3 requires immediate resuscitation.
Heart rate is the most important parameter guiding resuscitation.
A persistently low score indicates the need for ongoing resuscitation and evaluation.
NMCN Exam Tips
How this topic appears in the NMCN exam
Memorise the APGAR acronym and each parameter.
Assessed at 1 and 5 minutes — a very common exam fact.
Maximum score is 10; 7–10 is normal.
Heart rate is the key parameter guiding resuscitation.
Practice Question
Test yourself
The APGAR score is used to assess the newborn and is taken at:
Explanation
The APGAR score is assessed at 1 minute and again at 5 minutes after birth. It evaluates Appearance, Pulse, Grimace, Activity, and Respiration, each scored 0–2 for a maximum of 10.
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