You are called to the delivery room to intubate a newly-born infant. On arrival (1 minute of life) you note that the baby is pale, limp, heart rate <100, grimace reflex present but no cry, and breathing irregular and slow. What is this infant’s one minute APGAR score?
a) 2
b) 3
c) 4
d) 5
e) 6
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Answer
Answer B.
The patient’s APGAR score is 3.
The five criteria are summarized using words chosen to form a backronym (Appearance, Pulse, Grimace, Activity, Respiration). From each column in the table below, the infant is given a score of 0, 1 or 2. The scores are added up and the total is their Apgar score.[1]
- 0 points for pale
- 1 point for heart rate <100
- 1 point for grimace reflex
- 0 points for limp
- 1 point for slow, irregular breathing
- __
- 3
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.
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